Perm Medical JournalPerm Medical JournalПермский медицинский журнал (сетевое издание "Perm medical journal")0136-14492687-1408Eco-Vector337810.17816/pmj324104-115ArticlesСтатьиReview ArticleTECHNIQUES FOR AUTOGENOUS SURGICAL RECONSTRUCTION OF SMALL INTESTINE IN SHORT BOWEL SYNDROMEМетодики аутогенной хирургической реконструкции тонкой кишки при синдроме короткой кишкиKhasanovR RХасановРасуль Риантович

доктор медицинских наук, профессор, заведующий кафедрой детской хирургии с курсом ИДПО

pedsurg@bk.ruGumerovA AГумеровАитбай АхметовичKhaglK IХагльКорнелия Ирена

доктор медицинских наук, заведующая исследовательской лабораторией

VesselL MВессельЛукас Мариа

профессор, доктор медицинских наук, директор

Башкирский государственный медицинский университет, г. Уфа, Клиника детской хирургии, университетская клиника Маннгейм, Университет ГайдельбергБашкирский государственный медицинский университет, г. УфаКлиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг15082015324VOL 32, NO4 (2015)ТОМ 32, №4 (2015)10411512072016Copyright ©; 2015, Khasanov R.R., Gumerov A.A., Khagl K.I., Vessel L.M.Copyright ©; 2015, Хасанов Р.Р., Гумеров А.А., Хагль К.И., Вессель Л.М.2015Khasanov R.R., Gumerov A.A., Khagl K.I., Vessel L.M.Хасанов Р.Р., Гумеров А.А., Хагль К.И., Вессель Л.М.http://creativecommons.org/licenses/by-sa/4.0https://permmedjournal.ru/PMJ/article/view/3378

Short bowel syndrome (SBS) is one of the main reasons of intestinal insufficiency development. The SBS therapy is aimed at promotion of an adequate development and growth, prevention of complications and, finally, patient’s refusal from parenteral nutrition and change for complete enteral nutrition. Multiple studies prove efficiency of autogenous surgical reconstruction (ASR) of the small intestine in treatment of short bowel syndrome. They can be divided into two large groups: techniques directed to slowing of intestinal transit by formation of valves, anti-peristaltic segments and others; and techniques for intestinal lengthening by means of reconstruction of the small intestine dilated while intestinal adaptation that allows to use all the intestinal mucosa for absorption and prevents development of intestinal content stagnation. Reduction of patient’s need in parenteral nutrition and, finally, refusal from parenteral nutrition is the main target of small intestine ASR in patients with short bowel syndrome. Choice of technique and patients for surgical treatment, time required for surgical treatment of SBS are very important factors for reaching positive results.

Синдром короткой кишки (СКК) является одной из основных причин развития кишечной недостаточности. Терапия СКК заключается в обеспечении пациенту адекватного развития и роста, предупреждении осложнений и в конечном итоге отказе пациентов от парентерального питания и переход на полное энтеральное питание. Многочисленные исследования доказывают эффективность аутогенной хирургической реконструкции (АХР) тонкой кишки при лечении синдрома короткой кишки. Их можно разделить на две большие группы: методики, направленные на замедление кишечного транзита посредством создания клапанов, развернутых антиперистатических сегментов и др.; и методики удлинения кишечника путем реконструкции дилатированной в процессе кишечной адаптации тонкой кишки, позволяющей эффективно использовать всю слизистую кишечника для абсорбции и предотвращающей развитие застоя кишечного содержимого. Сокращение потребности пациента в парентеральном питании и в конечном итоге отказ от парентерального питания является основной целью применения АХР тонкой кишки у пациентов с СКК. Выбор метода хирургического лечения, подбор пациентов, время проведения хирургического лечения СКК являются очень важными факторами для достижения хороших результатов.

Short bowel syndromereconstructive surgerytreatment resultsСиндром короткой кишкиреконструктивная хирургиярезультаты леченияAlberti D., Boroni G., Giannotti G. et al. Spiral intestinal lenghtening and tailoring (SILT) for a child with severely short bowel. Pediatric Surgery International 2014; 30: 1169-1172.Andres A. M., Thompson J., Grant W. et al. Repeat surgical bowel lengthening with the STEP procedure. Transplantation 2008; 85: 1294-1299.Baldwin-Price H. K., Copp D., Singleton A. O. Jr. Reversed intestinal segments in the management of anenteric malabsorption syndrome. Annals of Surgery 1965; 161: 225-230.Beyer-Berjot L., Joly F., Maggiori L. et al. Segmental reversal of the small bowel can end permanent parenteral nutrition dependency: an experience of 38 adults with short bowel syndrome. Annals of Surgery 2012; 256: 739-735.Bianchi A. Experience with longitudinal intestinal lengthening and tailoring. European Journal of Pediatric Surgery: 1999; 9: 256-259.Bianchi A. From the cradle to enteral autonomy: the role of autologous gastrointestinal reconstruction. Gastroenterology 2006; 130: S138-146.Bianchi A. Intestinal loop lengthening a technique for increasing small intestinal length. Journal of Pediatric Surgery 1980; 15: 145-151.Bines J. E. Intestinal failure: a new era in clinical management. Journal of Gastroenterology and Hepatology 2009; 24 (3): S86-92.Bueno J., Redecillas S., GarcIa L. et al. Duodenal lengthening in short bowel with dilated duodenum. Journal of Pediatric Surgery 2015; 50: 493-496.Carlson G. L. Surgical management of intestinal failure. The Proceedings of the Nutrition Society 2003; 62: 711-718.Ching Y. A., Fitzgibbons S., Valim C. et al. Long-term nutritional and clinical outcomes after serial transverse enteroplasty at a single institution. Journal of Pediatric Surgery 2009; 44: 939-943.Cole C. R., Hansen N. I., Higgins R. D. et al. Very low birth weight preterm infants with surgical short bowel syndrome: incidence, morbidity and mortality, and growth outcomes at 18 to 22 months. Pediatrics 2008; 122: e573-582.Coletta R., Khalil B. A., Morabito A. Short bowel syndrome in children: surgical and medical perspectives. Seminars in Pediatric Surgery 2014; 23: 291-297.Cserni T., Biszku B., Guthy I. et al. The first clinical application of the spiral intestinal lengthening and tailoring (silt) in extreme short bowel syndrome. Journal of Gastrointestinal Surgery 2014; 18: 1852-1857.Cserni T., Takayasu H., Muzsnay Z. et al. New idea of intestinal lengthening and tailoring. Pediatric Surgery International 2011; 27: 1009-1013.Cserni T., Varga G., Erces D. et al. Spiral intestinal lengthening and tailoring - first in vivo study. Journal of Pediatric Surgery 2013; 48: 1907-1913.Duro D., Kamin D., Duggan C. Overview of pediatric short bowel syndrome. Journal of Pediatric Gastroenterology and Nutrition 2008; 47 (1): 33-36.Frongia G., Kessler M., Weih S. et al. Comparison of LILT and STEP procedures in children with short bowel syndrome - a systematic review of the literature. Journal of Pediatric Surgery 2013; 48: 1794-1805.Gargasz A. Neonatal and pediatric parenteral nutrition. AACN advanced critical care 2012; 23: 451-464; quiz 465-456.Georgeson K., Halpin D., Figueroa R. et al. Sequential intestinal lengthening procedures for refractory short bowel syndrome. Journal of Pediatric Surgery 1994; 29: 316-311.Hukkinen M., Merras-Salmio L., Sipponen T. et al. Surgical rehabilitation of short and dysmotile intestine in children and adults. Scandinavian Journal of Gastroenterology 2015; 50: 153-161.Hutcher N. E., Mendez-Picon G., Salzberg A. M. Prejejunal transposition of colon to prevent the development of short bowel syndrome in puppies with 90 per cent small intestine resection. Journal of Pediatric Surgery 1973; 8: 771-777.Iyer K. R. Surgical management of short bowel syndrome. Journal of Parenteral and Enteral Nutrition 2014; 38: 53S-59S.Javid P. J., Sanchez S. E., Horslen S. P. et al. Intestinal lengthening and nutritional outcomes in children with short bowel syndrome. American Journal of Surgery 2013; 205: 576-580.Kelly D. A. Preventing parenteral nutrition liver disease. Early Human Development 2010; 86: 683-687.Khalil B. A., Ba'ath M. E., Aziz A. et al. Intestinal rehabilitation and bowel reconstructive surgery: improved outcomes in children with short bowel syndrome. Journal of Pediatric Gastroenterology and Nutrition 2012; 54: 505-509.Kim H. B., Fauza D., Garza J. et al. Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. Journal of Pediatric Surgery 2003; 38: 425-429.King B., Carlson G., Khalil B. A. et al. Intestinal bowel lengthening in children with short bowel syndrome: systematic review of the Bianchi and STEP procedures. World Journal of Surgery 2013; 37: 694-704.Kono K., Sekikawa T., Iizuka H. et al. Interposed colon between remnants of the small intestine exhibits small bowel features in a patient with short bowel syndrome. Digestive Surgery 2001; 18: 237-241.Lourenco L., Campos M., Monteiro J. et al. Serial transverse enteroplasty (STEP): intermediate outcomes in children with short bowel syndrome. European Journal of Pediatrics 2012; 171: 1265-1268.Mercer D. F., Hobson B. D., Gerhardt B. K. et al. Serial transverse enteroplasty allows children with short bowel to wean from parenteral nutrition. The Journal of Pediatrics 2014; 164: 93-98.Modi B. P., Javid P. J., Jaksic T. et al. First report of the international serial transverse enteroplasty data registry: indications, efficacy, and complications. Journal of the American College of Surgeons 2007; 204: 365-371.Modi B. P., Langer M., Ching Y. A. et al. Improved survival in a multidisciplinary short bowel syndrome program. Journal of Pediatric Surgery 2008; 43: 20-24.Modi B. P., Langer M., Duggan C. et al. Serial transverse enteroplasty for management of refractory D-lactic acidosis in short-bowel syndrome. Journal of Pediatric Gastroenterology and Nutrition 2006; 43: 395-397.Murphy F., Khalil B. A., Gozzini S. et al. Controlled tissue expansion in the initial management of the short bowel state. World Journal of Surgery 2011; 35: 1142-1145.Nayyar N., Mazariegos G., Ranganathan S. et al. Pediatric small bowel transplantation. Seminars in Pediatric Surgery 2010; 19: 68-77.Nucci A., Burns R. C., Armah T. et al. Interdisciplinary management of pediatric intestinal failure: a 10-year review of rehabilitation and transplantation. Journal of Gastrointestinal Surgery 2008; 12: 429-435.Oh P. S., Fingeret A. L., Shah M. Y. et al. Improved tolerance for enteral nutrition after serial transverse enteroplasty (STEP) in infants and children with short bowel syndrome - a seven-year single-center experience. Journal of Pediatric Surgery 2014; 49: 1589-1592.O'Keefe S. J., Burnes J. U., Thompson R. L. Recurrent sepsis in home parenteral nutrition patients: an analysis of risk factors. Journal of Parenteral and Enteral Nutrition 1994; 18: 256-263.Olieman J. F., Penning C., Poley M. J. et al. Impact of infantile short bowel syndrome on long-term health-related quality of life: a cross-sectional study. Journal of Pediatric Surgery 2012; 47: 1309-1316.Oliveira C., de Silva N., Wales P.W. Five-year outcomes after serial transverse enteroplasty in children with short bowel syndrome. Journal of Pediatric Surgery 2012; 47: 931-937.Pakarinen M. P. Autologous intestinal reconstruction surgery as part of comprehensive management of intestinal failure. Pediatric surgery international 2015; 31: 453-464.Pakarinen M. P., Kurvinen A., Koivusalo A. I. et al. Long-term controlled outcomes after autologous intestinal reconstruction surgery in treatment of severe short bowel syndrome. Journal of Pediatric Surgery 2013; 48: 339-344.Panis Y., Messing B., Rivet P. et al. Segmental reversal of the small bowel as an alternative to intestinal transplantation in patients with short bowel syndrome. Annals of Surgery 1997; 225: 401-407.Ralls M. W., Demehri F. R., Feng Y. et al. Enteral nutrient deprivation in patients leads to a loss of intestinal epithelial barrier function. Surgery 2015; 157: 732-742.Rege A. S., Sudan D. L. Autologous gastrointestinal reconstruction: review of the optimal nontransplant surgical options for adults and children with short bowel syndrome. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition 2012, DOI: 10.1177/0884533612460405.Reinshagen K., Adams R., Trunk M. et al. The chronic liver disease in patients with short bowel syndrome: etiology and treatment. Minerva Pediatrica 2009; 61: 273-281.Reinshagen K., Zahn K., Buch C. et al. The impact of longitudinal intestinal lengthening and tailoring on liver function in short bowel syndrome. European Journal of Pediatric Surgery 2008; 18: 249-253.Richardson L., Banerjee S., Rabe H. What is the evidence on the practice of mucous fistula refeeding in neonates with short bowel syndrome? Journal of Pediatric Gastroenterology and Nutrition 2006; 43: 267-270.Spencer A. U., Neaga A., West B. et al. Pediatric short bowel syndrome: redefining predictors of success. Annals of Surgery 2005; 242: 403-412.Sudan D., Thompson J., Botha J. et al. Comparison of intestinal lengthening procedures for patients with short bowel syndrome. Annals of Surgery 2007; 246: 593-601.Taha M. O., Ribeiro M. A. Jr., de Oliveira Gomes P. et al. Evaluation of the longitudinal musculature of segments of the distal colon interposed following extended jejunum-ileum resection. Microsurgery 1999; 19: 306-310.Tappenden K. A. Intestinal adaptation following resection. Journal of Parenteral and Enteral Nutrition 2014; 38: 23S-31S.Thompson J. S. Surgical approach to the short-bowel syndrome: procedures to slow intestinal transit. European Journal of Pediatric Surgery 1999; 9: 263-266.Thompson J. S., Pinch L. W., Murray N. et al. Experience with intestinal lengthening for the short-bowel syndrome. Journal of Pediatric Surgery 1991; 26: 721-724.van der Werf C. S., Sribudiani Y., Verheij J. B. et al. Congenital short bowel syndrome as the presenting symptom in male patients with FLNA mutations. Genetics in medicine: official journal of the American College of Medical Genetics 2012, DOI: 10.1038/gim.2012.123.Waag K.L., Hosie S., Wessel L. What do children look like after longitudinal intestinal lengthening. European Journal of Pediatric Surgery 1999; 9: 260-262.Wales P. W., Christison-Lagay E. R. Short bowel syndrome: epidemiology and etiology. Seminars in Pediatric Surgery 2010; 19: 3-9.Wales P. W., Jancelewicz T., Romao R. L. et al. Delayed primary serial transverse enteroplasty as a novel management strategy for infants with congenital ultra-short bowel syndrome. Journal of Pediatric Surgery 2013; 48: 993-999.Walker S. R., Nucci A., Yaworski J. A. et al. The Bianchi procedure: a 20-year single institution experience. Journal of Pediatric Surgery 2006; 41: 113-119.Weih S., Kessler M., Fonouni H. et al. Current practice and future perspectives in the treatment of short bowel syndrome in children-a systematic review. Langenbeck's archives of surgery; Deutsche Gesellschaft fur Chirurgie 2012; 397: 1043-1051.Wester T., Borg H., Naji H. et al. Serial transverse enteroplasty to facilitate enteral autonomy in selected children with short bowel syndrome. The British Journal of Surgery 2014, DOI: 10.1002/bjs.9583.