Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience
<h3>Purpose</h3><p dir="ltr">To investigate the outcomes of premature neonates with short bowel syndrome (SBS) managed under a BEAR (Bowel Elongation and Advanced Rehabilitation) protocol.</p><h3>Methods</h3><p dir="ltr">This was a retros...
محفوظ في:
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2025
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إضافة وسم
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| _version_ | 1864513533640704000 |
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| author | Saleem Mammoo (22503065) |
| author2 | Noora Alshahwani (17734053) Maraeh Angela Mancha (15370393) Hassan Baghazal (17734050) Mansour Ali (11247783) Guy Brisseau (22503068) |
| author2_role | author author author author author |
| author_facet | Saleem Mammoo (22503065) Noora Alshahwani (17734053) Maraeh Angela Mancha (15370393) Hassan Baghazal (17734050) Mansour Ali (11247783) Guy Brisseau (22503068) |
| author_role | author |
| dc.creator.none.fl_str_mv | Saleem Mammoo (22503065) Noora Alshahwani (17734053) Maraeh Angela Mancha (15370393) Hassan Baghazal (17734050) Mansour Ali (11247783) Guy Brisseau (22503068) |
| dc.date.none.fl_str_mv | 2025-05-24T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00383-025-06036-4 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Intestinal_autonomy_in_extreme_premature_infants_with_short_bowel_syndrome_national_experience/30455207 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics Premature Short bowel syndrome Bowel expansion STEP |
| dc.title.none.fl_str_mv | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">To investigate the outcomes of premature neonates with short bowel syndrome (SBS) managed under a BEAR (Bowel Elongation and Advanced Rehabilitation) protocol.</p><h3>Methods</h3><p dir="ltr">This was a retrospective cohort study of preterm patients with SBS, treated at Sidra Medicine between January 2018 and February 2024. Data were extracted from electronic medical records, including patient demographics, clinical history, surgical interventions, parenteral nutrition (PN) duration, and long-term outcomes. The BEAR protocol incorporated a multidisciplinary approach with structured intestinal rehabilitation, hepato-protective PN strategies, and staged surgical interventions to promote enteral autonomy.</p><h3>Results</h3><p dir="ltr">A total of 20 premature neonates with SBS were analyzed, with a median gestational age of 28 weeks and a median birth weight of 860g. Necrotizing enterocolitis was the primary cause of SBS in 90% of cases. Of the cohort, 80% successfully weaned off PN, achieving enteral autonomy at a median corrected age of 19.7 months. Seven patients underwent serial transverse enteroplasty (STEP), with 6/7 successfully transitioning to full enteral feeding. The study demonstrated favorable survival rates and reduced PN-associated complications.</p><h3>Conclusion</h3><p dir="ltr">The BEAR protocol provides a structured and effective approach to intestinal rehabilitation in premature neonates with SBS, facilitating early enteral autonomy and minimizing long-term PN dependence. These findings contribute valuable clinical insights into optimizing multidisciplinary management strategies for this high-risk population.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Surgery International<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00383-025-06036-4" target="_blank">https://dx.doi.org/10.1007/s00383-025-06036-4</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_cff5d56a1cecab70e888c45dd71fb732 |
| identifier_str_mv | 10.1007/s00383-025-06036-4 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30455207 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experienceSaleem Mammoo (22503065)Noora Alshahwani (17734053)Maraeh Angela Mancha (15370393)Hassan Baghazal (17734050)Mansour Ali (11247783)Guy Brisseau (22503068)Biomedical and clinical sciencesClinical sciencesPaediatricsPrematureShort bowel syndromeBowel expansionSTEP<h3>Purpose</h3><p dir="ltr">To investigate the outcomes of premature neonates with short bowel syndrome (SBS) managed under a BEAR (Bowel Elongation and Advanced Rehabilitation) protocol.</p><h3>Methods</h3><p dir="ltr">This was a retrospective cohort study of preterm patients with SBS, treated at Sidra Medicine between January 2018 and February 2024. Data were extracted from electronic medical records, including patient demographics, clinical history, surgical interventions, parenteral nutrition (PN) duration, and long-term outcomes. The BEAR protocol incorporated a multidisciplinary approach with structured intestinal rehabilitation, hepato-protective PN strategies, and staged surgical interventions to promote enteral autonomy.</p><h3>Results</h3><p dir="ltr">A total of 20 premature neonates with SBS were analyzed, with a median gestational age of 28 weeks and a median birth weight of 860g. Necrotizing enterocolitis was the primary cause of SBS in 90% of cases. Of the cohort, 80% successfully weaned off PN, achieving enteral autonomy at a median corrected age of 19.7 months. Seven patients underwent serial transverse enteroplasty (STEP), with 6/7 successfully transitioning to full enteral feeding. The study demonstrated favorable survival rates and reduced PN-associated complications.</p><h3>Conclusion</h3><p dir="ltr">The BEAR protocol provides a structured and effective approach to intestinal rehabilitation in premature neonates with SBS, facilitating early enteral autonomy and minimizing long-term PN dependence. These findings contribute valuable clinical insights into optimizing multidisciplinary management strategies for this high-risk population.</p><h2>Other Information</h2><p dir="ltr">Published in: Pediatric Surgery International<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00383-025-06036-4" target="_blank">https://dx.doi.org/10.1007/s00383-025-06036-4</a></p>2025-05-24T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00383-025-06036-4https://figshare.com/articles/journal_contribution/Intestinal_autonomy_in_extreme_premature_infants_with_short_bowel_syndrome_national_experience/30455207CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/304552072025-05-24T09:00:00Z |
| spellingShingle | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience Saleem Mammoo (22503065) Biomedical and clinical sciences Clinical sciences Paediatrics Premature Short bowel syndrome Bowel expansion STEP |
| status_str | publishedVersion |
| title | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| title_full | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| title_fullStr | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| title_full_unstemmed | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| title_short | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| title_sort | Intestinal autonomy in extreme premature infants with short bowel syndrome: national experience |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics Premature Short bowel syndrome Bowel expansion STEP |