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Related Experiment Videos

Vanishing bowel: a therapeutic challenge.

Jessica E Sandy1, Linda F Lazar, Richard A Helms

  • 1Department of Pharmacy, The University of Tennessee Health Science Center, 847 Monroe Avenue, Memphis, 38163, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|July 28, 2006
PubMed
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This rare congenital abnormality, "vanishing bowel," requires comprehensive surgical, medical, and nutritional management. Successful outcomes involve residual small bowel and surgical interventions, enabling patients to tolerate solid foods.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • "Vanishing bowel" is an exceedingly rare congenital abnormality with limited reported cases.
  • Effective management strategies for this condition remain poorly defined.
  • This case highlights the multidisciplinary approach required for affected infants.

Observation:

  • A patient with "vanishing bowel" presented with a rare congenital abnormality.
  • The patient had residual small bowel and underwent a bowel-lengthening procedure.
  • Despite ongoing nocturnal parenteral nutrition (PN), the patient tolerated solid foods.

Findings:

  • The patient demonstrated improved tolerance to solid foods without significant malabsorption or abdominal distention.
  • Modest weight gain was observed over a 2-month period.

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  • The patient was clinically well at 3.5 years of age.
  • Implications:

    • This case underscores the potential for successful outcomes in "vanishing bowel" patients with residual bowel and surgical intervention.
    • It emphasizes the importance of tailored nutritional support, including parenteral nutrition (PN) and gradual introduction of oral intake.
    • Further research into long-term management and quality of life for survivors is warranted.