Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Short bowel syndrome in the elderly.

Jon S Thompson1

  • 1Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA. jthompso@unmc.edu

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|October 11, 2005
PubMed
Summary

Massive intestinal resection in elderly patients leads to high early mortality. Long-term survival is possible, particularly with enteral nutrition (EN), and remnant length impacts prognosis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Gastric bypass reversal in patients with short bowel syndrome.

Intestinal Failure (New York, N.Y.)·2026
Same author

Surgical Approach Impacts Textbook Outcomes in Patients With Obesity Undergoing Colectomy for Right-Sided Colon Cancers.

Diseases of the colon and rectum·2026
Same author

Textbook outcome in short bowel syndrome.

American journal of surgery·2024
Same author

Characteristics of pathologic complete response for locally advanced rectal cancer.

American journal of surgery·2023
Same author

Cholecystectomy prior to short bowel syndrome does not alter nutritional prognosis.

American journal of surgery·2022
Same author

Celiac disease and the surgeon.

American journal of surgery·2022

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • Massive intestinal resection in the elderly poses significant ethical challenges due to high mortality rates.
  • Quality of life following short bowel syndrome (SBS) in this demographic is a critical concern.

Purpose of the Study:

  • To evaluate the clinical outcomes of patients over 70 years old who underwent intestinal resection resulting in SBS.
  • To identify factors influencing survival and nutritional status post-resection.

Main Methods:

  • Retrospective analysis of 23 patients aged 70-92 over a 20-year period.
  • Evaluation of mortality, need for parenteral nutrition (PN), enteral nutrition (EN) transition, and remnant intestinal length.

Main Results:

Related Experiment Videos

  • 48% of patients experienced early postoperative death.
  • Of discharged patients, 63% required permanent parenteral nutrition (PN), while 3 transitioned to enteral nutrition (EN).
  • Long-term survival (5 years) was achieved by 67% of patients receiving EN only; remnant length >120 cm improved discharge and PN independence rates.

Conclusions:

  • Massive intestinal resection in the elderly is associated with high early mortality.
  • Long-term survival is achievable in 50% of discharged patients, especially with successful transition to EN.
  • Intestinal remnant length is a key factor in nutritional prognosis, and elderly patients may benefit from further surgical interventions.