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  • Title: Primary anastomosis in apple-peel bowel syndrome.
    Author: Turnock RR, Brereton RJ, Spitz L, Kiely EM.
    Journal: J Pediatr Surg; 1991 Jun; 26(6):718-20. PubMed ID: 1941465.
    Abstract:
    During a 15-year period, 12 infants with apple-peel bowel were treated; the first 4 by initial enterostomy with delayed anastomosis and the remaining 8 by primary anastomosis. All four infants in the enterostomy group required parenteral nutrition, compared with only six of the eight who had a primary anastomosis. Seven of the eight infants treated by primary anastomosis were in hospital for less than 50 days, (however, the remaining child was an in-patient for over 2 years, but did suffer from short-bowel syndrome with only 17 cm of small intestine). In comparison, all four of the enterostomy group were hospitalised for between 70 and 175 days. All twelve patients survived.
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