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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 1/2019

01-01-2019 | Stanford Multidisciplinary Seminars

The Runs: Sudden Copious Ostomy Output in an Acolonic Hirschsprung Disease Patient with Short Gut Syndrome

Authors: Warapan Nakayuenyongsuk, Danielle Barnes, Brock Martin, Megan Christofferson, John Kerner

Published in: Digestive Diseases and Sciences | Issue 1/2019

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Excerpt

A 7-year-old female with prior history of total colonic and ileal Hirschsprung disease was initially evaluated for very high ostomy output of unknown etiology. Her medical history had included extensive surgical interventions prior to 2 years of age to resect involved bowel. Those resections resulted in short gut (residual length of small bowel 145 cm), an end jejunostomy, and the absence of an ileocecal valve or colon. During those first 2 years, due in part to dilated proximal small bowel, she underwent three Serial Transverse Enteroplasty (STEP) procedures in order to lengthen and taper (narrow) her intestine [1, 2]. …
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Kim HB, Lee PW, Garza J, et al. Serial transverse enteroplasty for short bowel syndrome: a case report. J Pediatr Surg. 2003;38:881–885.CrossRef
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Abu-Elmagd K. The concept of gut rehabilitation and the future of visceral transplantation. Nat RevGastroenterol Hepatol. 2015;12:108–120.CrossRef
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Cohran VC, Prozialeck JD, Cole CR. Redefining Short Bowel Syndrome in the 21st Century. Pediatric Research. 2017: Advance online publication 25 January 2017.
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Barker J, Liu E. Celiac disease: pathophysiology, clinical manifestations and associated autoimmune conditions. Adv Pediatr. 2008;55:349–365.CrossRef
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West J, Fleming K, Tata L, et al. Incidence and prevalence of celiac disease and dermatitis herpetiformis in the UK over two decades: population-based study. Am J Gastroenterol. 2014;109:757–768.CrossRef
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Hill ID, Fasano A, Guandalini S, et al. NASPGHAN clinical report on the diagnosis and treatment of gluten related disorders. J Pediatr Gastroenterol Nutr. 2016;63:156–165.CrossRef
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Hill ID, Dirks MH, Liptak GS, et al. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005;40:1–19.CrossRef
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Husby S, Koletzko S, Korponay-Szabo IR, et al. European society for pediatric gastroenterology hepatology, and nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr. 2012;54:136–160.CrossRef
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Metadata
Title
The Runs: Sudden Copious Ostomy Output in an Acolonic Hirschsprung Disease Patient with Short Gut Syndrome
Authors
Warapan Nakayuenyongsuk
Danielle Barnes
Brock Martin
Megan Christofferson
John Kerner
Publication date
01-01-2019
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 1/2019
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-018-5229-7

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