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Journal of Zhejiang University SCIENCE A 2001 Vol.2 No.3 P.329-332

http://doi.org/10.1631/jzus.2001.0329


SEVERE SHORT-BOWEL SYNDROME AFTER TOTAL SMALL BOWEL RESECTION


Author(s):  CHEN Li, WANG Bin, LIU Jian, DAI Ning

Affiliation(s):  The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China; more

Corresponding email(s): 

Key Words:  short bowel syndrome(SBS), postoperative complications, intestine


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CHEN Li, WANG Bin, LIU Jian, DAI Ning. SEVERE SHORT-BOWEL SYNDROME AFTER TOTAL SMALL BOWEL RESECTION[J]. Journal of Zhejiang University Science A, 2001, 2(3): 329-332.

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Abstract: 
Extensive intestine resection may result in short bowel syndrome (SBS) which is difficult to manage. This study reports a rare SBS case in a 6-year-old boy following resection of total jujunoileum and right colon. Our experience in 4-years follow-up and literature reports on SBS is discussed. The purpose of this study was also to evaluate the nutritional absorptive capacity and intestinal adaptation. In the 15th postoperative month, barium x-ray study showed a significantly extended and enlarged duodenum and colon. The intestinal transit time was prolonged to 22 hours. The absorption rate of palmic acid, glycine and D-xylose had increased from 57%, 50% and 4% respectively in the 15th postoperative month, to 75%, 65% and 6% in the 2nd postoperative year. His absorptive capacity allowed him normal oral feeding and normal school life. Our data confirmed the reports of the colon as an energy-salvage organ, and suggested that it may have some capacity to absorb long-chain fatty acids and amino acids.

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Reference

[1] Booth, I.W., 1994. Enteral nutrition as primary therapy in short bowel syndrome. Gut supplement(Suppl.), 1:69-72.

[2] Byrne, T. A., Persinger R. L., Young, LS. et al., 1995. A new Treatment for patients with short-bowel syndrome: Growth hormone, glutamine, and a modified diet. Ann Surg, 222:243-255.

[3] Deltz, E., 1993. Development and perspectives of small intestine transplantation. Langenbecks Arch Chir, 378:262-264.

[4] Georgeson, K., Halpin, D., Figueroa, R., et al., 1994. Sequential intestinal lengthening procedures for refractory short bowel syndrome. J Pediatr Surg, 29:316-320.

[5] Grosfeld, J.L., Rescoria, F.J., West, K.W., 1986. Short bowel syndrome in infancy and children. Am J Surg, 151:41-46.

[6] Huskisson, L.J., Brereton, R.J., Kiely, E.M., 1993. Spitz-L: Problems with intestinal lengthening. J Pediatr Surg, 28:720-732.

[7] Jeppesen, P.B., Mortensen, P.B., 1998. Significance of a preserved colon for parenteral energy requirements in patients receiving home parenteral nutrition. Scand J Gastroenterol, 33:1175-1179.

[8] Jin, D.Y., W, Z.H., Huang, D.N., et al. 1993. Protein metabolism after total small bowel resection. Chin J Surg, 31:49(in Chinese, with English abstract).

[9] Kocoshis, S.A., Tzakis, A., Todo, S., et al. 1993. Pediatric liver transplantation. History, recent innovations, and outlook for the future. Clin Pediatr Phila, 32:386-392.

[10] Kurkchubasche, A.G., Rowe, M.I., Smith, S.D., 1993. Adaptation in short-bowel sytndrome: reassessing old limits. J Pediatr Surg, 28: 1069-1071.

[11] Lai, H.S., Chen, W.J., Chen, K.M., 1989. Effects of monomeric and polymeric diets on small intestine following massive resection. Taiwan I Hsueh Hui Tsa Chih, 88:982-988.

[12] Levy, E., Frileux, P., Sandrucci, S., et al., 1988. Continous enteral nutrition during the early adaptive stage of the short bowel syndrome. Br J Surg, 75:549-553.

[13] Nordgaard, I., Hansen, B.S., Mortensen, P.B., 1994. Colon as a digestive organ in patients with short bowel. Lancet, 343:373-376.

[14] Vanderhoof, J.A., Langnas, A.N., 1997. Short-bowel syndrome in children and adults. Gastroenterology, 113:1167-1778.

[15] Weber, T.R., Tracy, T., Connors, R.H., 1991. Short bowel syndrome in children. Arch Surg, 126:841-846.

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