Chyme reinfusion in children undergoing temporary gastrostomy with a double enterostomy: A case report
- Authors:
- Hong Thuy Thi Nguyen
- Nga Thuy Thi Dang
- Du Quang Le
- Anh Tuan Trinh
- Dat Tien Tran
- An Thai Nguyen
- Ha Ngoc Vu
- Linh Thuy Nguyen
-
View Affiliations
Affiliations: Department of Nutrition, Vietnam National Children's Hospital, Hanoi 100000, Vietnam, Center for General Surgery, Vietnam National Children's Hospital, Hanoi 100000, Vietnam, Department of Emergency and Poison Control, Vietnam National Children's Hospital, Hanoi 100000, Vietnam, School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam, Department of Nutrition and Dietetics, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi 100000, Vietnam
- Published online on: June 11, 2025 https://doi.org/10.3892/wasj.2025.359
-
Article Number:
71
-
Copyright : © Nguyen
et al. This
is an open access article distributed under the
terms of Creative
Commons Attribution License [CC BY 4.0].
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Abstract
Chyme reinfusion is an enteral nutrition technique that allows for the re‑establishment of gastrointestinal continuity by reinfusing the chyme from the afferent to the efferent small bowel through an extracorporeal artificial tract. This leads to the improved intestinal absorption of the chime, thus preventing water loss, disruptions in electrolyte balance, malnutrition and micronutrient deficiencies. This feeding method also minimizes the high costs and multiple complications related to conventional parenteral nutrition until the surgical re‑establishment of intestinal continuity (SRIC). The aim of the present case report was to present an effective treatment approach, digestive fluid reinfusion, applied in a pediatric patient who underwent bowel resection due to midgut volvulus. The present study reports the case of a 2‑month old male infant with a diagnosis of midgut volvulus who underwent surgery for resection of the necrotic bowel segment and closing of the duodenojejunal stump, namely a gastrostomy, and to bring the lower bowel segment out to establish an artificial anus. Pending for the SRIC, chyme reinfusion was applied in conjunction with the parenteral nutrition. Following 8 weeks of treatment, the nutritional status had improved and the patient underwent a successful SRIC. On the whole, in patients with temporary double enterostomy pending for SRIC, chyme reinfusion is an efficient and effective method which can be used to initiate early enteral feeding and reduce the need for parenteral nutrition.
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