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- W2054292002 abstract "13 children with very short small intestine, <38cm of jejunoileum(JI), from the first month of life were managed on home parenteral nutrition(PN) between 1974 & 1984. Survival is compared with the collective reported data in this condition before 1972. 9 of 13(69%) have survived compared with 7 of 30(23%) previously. 5 discontinued PN with normal growth and development after periods of 4-32 months. 4 still receive partial (2) or total(2) PN after 9,55,66 and 68 months; all of these have grown normally. In the 3 combined categories of 15-38cm of JI without an ileocecal valve(ICV) and <15cm of JI with and without an ICV, 7 of 10(70%) have survived compared with 0 from 16 before 1972. 17 episodes of systemic catheter infection occurred; 14 were successfully treated without catheter removal. 6 children developed gallstones and underwent cholecystectomy for cholecystitis. Of 10 children in whom hepatic histology was obtained, 2 developed cirrhosis and 6 portal fibrosis; portal hypertension occurred in these but variceal hemorrhage did not. With long term PN, the length of JI necessary for ultimate survival off PN has been reduced from ≥15cm to ≥11cm with an ICV and from ≥38cm to ≥25cm without an ICV." @default.
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- W2054292002 date "1985-04-01" @default.
- W2054292002 modified "2023-09-27" @default.
- W2054292002 title "641 IMPROVED SURVIVAL AND THE MORBIDITY IN VERY SHORT SMALL INTESTINE OF INFANCY WITH THE USE OF LONG-TERM PARENTERAL FEEDING" @default.
- W2054292002 doi "https://doi.org/10.1203/00006450-198504000-00671" @default.
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