Short gut syndrome: the Aga khan University Hospital experience

ABSTRACT

Despite recent advances in post operative care, problems associated with a short gut remain difficult to manage in neonates and infants. Five neonates with short gut syndrome secondary to various congenital intestinal anomalies were managed at the Aga Khan University Hospital between July 1986 and November 1988. The total length of the small bowel ranged from 55 cms to 130 cms and one patient had concomitant total colonic aganglionosis. The period of hospitalization ranged from 36 days to 6 months. Post operative management included the judicious use of Immodium, Cholestyramine and formulas containing medium chain triglycerides. Total parenteral nutrition was employed in one patient. Neonates, with retained ileum and ileocecal valve had smoother post operative courses and shorter hospitalization. All patients are showing satisfactory weight gain and development following discharge