Longitudinal division of small intestine: a surgical possibility for children with the very short bowel syndrome.

摘要: Surgical approach to short bowel syndrome has been dealing with two major problems: lack in absorptive surface and dysfunction of the peristalsis widely distended loop above anastomosis. In those children having a very intestine, one is reluctant either resect or reduce diameter this loop. Bianchi, followed by Boeckman Traylor, described procedure lengthening dividing it longitudinally. Their advantage restoring normal without losing any surface. A modification original Bianchi described. We report on its application child born laparoschisis intestinal atresia; she had fact 25 centimetres duodenum proximal jejunum anastomosed left colonic angle. This was referred us functional occlusion related distension an intact unobstructed She operated at six weeks age. Postoperatively oral feeding could be started after month. Broviak's catheter for parenteral nutrition removed months. conclusion we believe that technique offers chance better faster adaptation syndrome.