Nuôi dưỡng sớm đường tiêu hóa sau phẫu thuật Santulli: Báo cáo ca bệnh

Abstract

Santulli surgery is a bowel drainage technique first described in 1961 by Santulli. This procedure combines the connection of the ileum to the cecum or colon with an end-to-side anastomosis and bringing a part of the ileum to the outside to create a temporary stoma. This approach facilitates early and gradual enteral feeding after gastrointestinal surgery. We report a case of a 2-month-old male infant with a history of type IV intestinal atresia, who underwent surgery to resect multiple sections of the atretic bowel and ileal diversion using the Santulli technique. According to the plan, the infant was expected to undergo another surgery for stoma closure. During this period, instead of minimal oral feeding, the infant was gradually fed via the oral route, with intravenous feeding being minimized. After 4 weeks, the infant's nutritional status and physical condition improved, permitting stoma closure surgery.