The Importance of the Ileocecal Valve and Colon in Achieving Intestinal Independence in Infants with Short Bowel Syndrome

Space: StayCurrentMD Author: Francesca Bell Peters, Jeffrey N Bone, Rhonda Van Oerle, Susan Albersheim, Linda Casey, Hannah Piper Published:

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Francesca Bell Peters, Jeffrey N Bone, Rhonda Van Oerle, Susan Albersheim, Linda Casey, Hannah Piper

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Abstract

Purpose

: Infants with short bowel syndrome (SBS) wean from parenteral nutrition (PN) support at variable rates. Small bowel length is a predictor, but the importance of the ileocecal valve (ICV) and colon are unclear. We aim to determine if the ICV and/or colon predict enteral autonomy.

Methods

: Infants from a single intestinal rehabilitation program were retrospectively reviewed. Etiology of SBS, intestinal anatomy, and duration of nutritional support were collected for three years. The primary outcome was time to full enteral nutrition. ANCOVA and Cox proportional hazards model were used, with p

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