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[The ultrashort bowel syndrome: the surgical treatment of an exceptional case].
- Source :
-
Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 1993 Oct; Vol. 84 (4), pp. 259-62. - Publication Year :
- 1993
-
Abstract
- An exceptional case of a 16-year-old boy who accidentally lost all of the small bowel (except the proximal 5 cm. of jejunum), and also 10 cm of transverse colon and a small part of the middle and upper rectum, is presented. After suffering severe medical complications derived from prolonged and uninterrupted total parenteral nutrition for more than one year, with no oral intake except fluids, the patient underwent intestinal lengthening of all the residual bowel up to the sigmoid colon, with antiperistaltic anastomosis and sigmoid J pouch with myotomy. Several months after the operation the patient returned to his normal activities and is fed with a free-diet, complemented or not with nocturnal enteral and parenteral feeding, depending on the circumstances and weight variations. Lengthening of the large bowel together with the rest of surgical gestures here performed has not been published previously.
- Subjects :
- Accidental Falls
Adolescent
Anastomosis, Surgical methods
Combined Modality Therapy
Enteral Nutrition
Humans
Intestines injuries
Intestines surgery
Male
Parenteral Nutrition
Parenteral Nutrition, Total adverse effects
Postoperative Care
Proctocolectomy, Restorative methods
Short Bowel Syndrome etiology
Short Bowel Syndrome surgery
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1130-0108
- Volume :
- 84
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Revista espanola de enfermedades digestivas
- Publication Type :
- Academic Journal
- Accession number :
- 8292439