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Decision Algorithm" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "523" "paginaFinal" => "525" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antonio Alastrué, Pau Moreno, Jordi Tarascó, Sandra Vela, Eva Martínez" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Antonio" "apellidos" => "Alastrué" "email" => array:1 [ 0 => "9499aav1@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Pau" "apellidos" => "Moreno" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Jordi" "apellidos" => "Tarascó" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Sandra" "apellidos" => "Vela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Eva" "apellidos" => "Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y Digestiva, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Nutrición y Dietética, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tres casos extremos de síndrome de intestino corto: STEP y neoválvulas. Algoritmo de actuación" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1701 "Ancho" => 3000 "Tamanyo" => 169794 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Technical decision-making algorithm for short bowel syndrome according to the length of the residual intestine and presence/absence of colon and ileocecal valve.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Short bowel syndrome (SBS) affects patients who have lost part of their intestine, either anatomically or functionally. In adults, the main cause is primary or secondary bowel ischemia, although less frequently it may be the result of inflammatory bowel disease or radiation enteritis.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> Mid-term mortality is high, mainly due to bacterial overgrowth, catheter sepsis<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> or liver failure associated with parenteral nutrition (PN).<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> Previously, the only solutions in cases of extreme SBS were intestinal transplantation or permanent PN. Since then, several surgical techniques have been developed to try to avoid these solutions, which result in poor quality of life and limited survival. One of these techniques is the so-called serial transverse enteroplasty (STEP) method proposed by Kim et al.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">4</span></a> using the serial application of a GIA stapler to the small bowel loops, providing lengthening of some 50%. Between 2010 and 2014, 3 patients with SBS underwent elective intestinal lengthening using the STEP procedure:</p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 1</span>: A 52-year-old male patient underwent emergency surgery at another hospital for massive intestinal thrombosis secondary to a large stromal tumor. The entire small intestine was resected except for 35<span class="elsevierStyleHsp" style=""></span>cm of the proximal jejunum; terminal jejunostomy, and cecostomy were conducted, conserving practically all of the colon without the ileocecal valve. The lengthening of the jejunum using the STEP method was performed by applying 10 blue cartridges of 45<span class="elsevierStyleHsp" style=""></span>mm linear staples (Endo GIA™, Covidien-Medtronic, Minneapolis, MN, USA) alternately at the mesenteric and anti-mesenteric margins, separated by 3<span class="elsevierStyleHsp" style=""></span>cm, taking special care to preserve the vascularization (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). With this, the jejunum was lengthened to about 80<span class="elsevierStyleHsp" style=""></span>cm. A neovalve was created in the distal end using eversion of the loop as in the Brooke ileostomy,<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> which was anastomosed by an intussusception in the cecum.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 2</span>: A 30-year-old female patient presented with catastrophic antiphospholipid syndrome<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">6</span></a> requiring massive bowel resection due to ischemia at some 45<span class="elsevierStyleHsp" style=""></span>cm from the angle of Treitz and about 7<span class="elsevierStyleHsp" style=""></span>cm from the terminal ileum with valve, so a double ostomy was performed. After 2 months, STEP was applied using 12 cartridges, elongating the small intestine up to 95<span class="elsevierStyleHsp" style=""></span>cm and performing a manual end-to-end jejunoileostomy.</p><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 3</span>: A 45-year-old male underwent emergency surgery at another hospital for intestinal ischemia, involving right hemicolectomy, extensive bowel resection with 80<span class="elsevierStyleHsp" style=""></span>cm of jejunum and 2 ostomies: terminal jejunostomy and mucosal fistula. Fourteen 45-mm cartridges were applied (creating 130<span class="elsevierStyleHsp" style=""></span>cm of small intestine) and a neovalve was created that was anastomosed to the transverse colon. The patients did not present important postoperative complications; they received PN, enteral nutrition (EN) as well as vitamin supplements, pancreatic enzymes, minerals, oligoelements, codeine and loperamide, as needed. Two to 3 months after reconstruction, the patients no longer required PN and in the mid-term not even EN, after which they followed the dietary recommendations of our nutritionists. After a minimum follow-up of 3 years, the 3 patients are living normal lives with adapted oral intake and 2–3 stools per day, with loperamide and codeine occasionally.</p><p id="par0025" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows the weight curve of the patients: prior to SBS, at the time of reconstruction and the evolution over the following months. The STEP technique allows the small intestine to be lengthened in a simple and effective manner, while at the same time resolving the problems caused by dilated loops. In addition, it is possible to repeat the procedure if the bowel is not adapted in an initial intervention. Our group has performed the method in these patients with a technical variation: application of the endostaples on the mesenteric and antimesenteric borders of the intestine, instead of applying them laterally, which provides greater control for stapling and division, while avoiding any gathering in the intestinal loop In the 2 cases in which there were no ileocecal valves, neovalves were created to slow the intestinal transit. In patients with no colon, this neovalve can be affixed to the abdominal wall with some technical modifications, or an enterostomy can also be performed with an inverted loop.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Prophylactic cholecystectomies were also performed in all 3 cases due to the high probability of developing cholelithiasis and its complications in patients with SBS.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">7</span></a> Based on the literature<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">8</span></a> and our experience, we propose a technical decision-making algorithm (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) depending on the length of the residual intestine and the presence or absence of ileocecal valve and/or colon. The extreme cases would be: (<span class="elsevierStyleItalic">a</span>) a residual intestine of less than 40<span class="elsevierStyleHsp" style=""></span>cm with no colon, where permanent PN or intestinal transplantation will probably be required<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a> and (<span class="elsevierStyleItalic">b</span>) a residual intestine longer than 80<span class="elsevierStyleHsp" style=""></span>cm with valve and colon, where the intestinal adaptation will surely be achieved without surgery. In the opinion of the authors, the STEP procedure and the eventual creation of a neovalve can achieve enough intestinal adaptation so that the majority of patients with SBS no longer depend on PN. Reducing the number of current candidates for intestinal transplantation and patients requiring permanent/definitive home PN programs has enormous advantages, both economic and medical, especially in terms of survival and quality of life.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Alastrué A, Moreno P, Tarascó J, Vela S, Martínez E. Tres casos extremos de síndrome de intestino corto. STEP y neoválvulas. Algoritmo de actuación. Cir Esp. 2018;96:523–525.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1013 "Ancho" => 950 "Tamanyo" => 149825 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lengthening of the jejunum using the STEP technique, applying linear endostapler cartridges alternatively to the mesenteric and antimesenteric borders.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1701 "Ancho" => 3000 "Tamanyo" => 169794 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Technical decision-making algorithm for short bowel syndrome according to the length of the residual intestine and presence/absence of colon and ileocecal valve.</p>" ] ] 2 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:2 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="10" align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Evolution of Weight (kg)</th></tr><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Patient \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="center" 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title="table-entry " align="char" valign="top">64 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">63 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="char" valign="top">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">65 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">54 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">62 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">67 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">68 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">70 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1881085.png" ] ] 1 => array:1 [ "tablaImagen" => array:1 [ 0 => array:4 [ "imagenFichero" => "fx1.jpeg" "imagenAlto" => 904 "imagenAncho" => 1728 "imagenTamanyo" => 78463 ] ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evolution of Patient Weight: Prior to SBS (preOP), at the Time of Reconstruction (OP) and in Subsequent Months.</p>" ] ] ] "bibliografia" => 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