Severe short-bowel syndrome after total small bowel resection |
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Authors: | Chen Li Wang Bin Liu Jian Dai Ning |
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Institution: | (1) The Second Affiliated Hospital, College of Medicine, Zhejiang University, 310009 Hangzhou, China;(2) Hangzhou first People’s Hospital, 310006 Hangzhou, China;(3) Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, 310016 Hangzhou, China |
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Abstract: | Extensive intestine resection may result in short bowel syndrome (SBS) which is difficult of 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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Keywords: | short bowel syndrome (SBS) postoperative complications intestine |
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