Experience of 49 longitudinal intestinal lengthening procedures for short bowel syndrome.

PATIENTS, METHODS AND RESULTS: Forty-nine patients with a mean age of 25 months underwent a longitudinal intestinal lengthening procedure for short bowel syndrome (SBS) in our institution. Indications for the operation were dependence on parenteral nutrition in spite of adequate conservative management. The small bowel was lengthened from a mean of 27 cm to a mean of 51 cm. There was no intraoperative mortality. The following early complications occurred in our early series: ischemia of a short bowel segment of 2 cm, requiring resection in two patients, insufficiency of the longitudinal anastomosis in two patients and an intra-abdominal abscess in one. Four of 9 non-survivors died of liver failure and 3 of sepsis. Follow-up showed that 19 patients were weaned from parenteral nutrition after a mean of 9.1 months. Long-term complications encountered were dismotility with malabsorption due to bacterial overgrowth caused by progressive dilatation of the bowel, d-lactic acidosis, cholelithiasis and urolithiasis. CONCLUSIONS: A longitudinal intestinal lengthening procedure is an effective and safe surgical approach for SBS, provided it is performed in time, the patient's preoperative condition is optimized and technical surgical details are taken into account.

Autonomic function in children and adolescents with neurocardiogenic syncope.

BACKGROUND: This study aimed to clarify whether children with neurocardiogenic syncope (NCS) differ from healthy control subjects in baseline heart rate variability (HRV) and in their response to orthostatic stress induced by active standing and tilt table. METHODS: This study analyzed the difference between 55 children with a history of NCS or presyncopal symptoms (PS) and healthy control subjects. Measurements included short-term HRV during resting position, tilt table testing, and active standing. Time and frequency domain HRV parameters were computed. RESULTS: Both the NCS and PS children differed significantly from healthy control subjects during resting position. During tilt table testing, nearly all NCS and PS subjects differed significantly from the control group in calculated HRV parameters. Moreover, for the low-frequency power and total power, the confidence intervals did not overlap. CONCLUSIONS: The findings suggest that chronic autonomic differences exist between healthy children and patients with NCS and PS. These changes could be detected even by short-term HRV recordings. The tilt table maneuver provoked the most prominent differences between the groups. Low-frequency power and total power during tilt table testing helps to detect children with NCS.