BOB in Ped Surg - Lourenzo Sbragia, IBEROAMERICANA - Presentation

Good morning, good afternoon, ladies and gentlemen. Thank you for opportunity to present our paper. conflicts of interest in Short bowel syndrome is defined as the malabsorption state resulting from extensive intestinal resection. Intestinal insufficiency is characterized by the loss or decrease of intestinal absorptive capacity to maintain nutritional status, inclusively through the interior. The sequel, short bowel syndrome incidence is 24 cases for 1000 live births and global mortality 37%. Our aim was to evaluate the evolution and variables that influence the death of newborns who were diagnosed with short bowel syndrome and ultra short bowel syndrome in three centers of neonatal. Which was approved by our clinical. It's a cohort test of 18 years, 15 neonate, and the data obtained by reviewing the record medical record. The demographic data that we study were 13. And the criteria of inclusion was short bowel syndrome less than 60 cm and ultra short bowel syndrome less than 25 cm. No ica valve and criteria of exclusion are other malformations, genetic syndromes and remaining intestine more than 60. Our results, our statistical analysis compare two groups by Fisher test and Kaplan Meyer tests and all. Our results, we have 53 short bowel syndrome, 20 survive, uh, 30 short bowel and 23 ultra short bowel syndrome. Diagnose, 55% NEC, 20% gastroschisis, 10% intestinal atresia and 10% mid gut volvulus. The demographic results, most of them are male, most submit to cesarean section, adequate for gestational age, uh, the weight is, the premature to 75%, they need implementation of Venus cateter, 73% and need of NPT 70%. Uh, when you compare short bowel versus ultra short bowel, we found the full adaptation and remaining bowel lens had difference between groups, but there were no difference between, uh, uh, death, uh. potential risk for values for death was TPN, uh, not able for get food adaptation and not able to get enteral nutrition. This is the the curve of TPN influence survival. This time food adaptation influence survival curve. And the potential predict fart for death was time for definitive surgery in days and weight for discharging or death in loss. revolution for ultra short bow syndrome was small for gestational age. The potential shorting according to to diagnose NEC versus no NEC, less than 25 days of loss or survival. This is our general survival. Our final weight to discharge in training patient. Well, in conclusion, ladies and gentlemen, thank you for your attention. High morbidity and mortality in neonatal, uh, neonatal surgery was 57% and avoid complication and short TPN during the adaptation period had a significant impact of survival. Our authors and other institution. Gracias, thank you very much.