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[Massive small bowel resection. Apropos of 27 cases]
G Boncompain1, J Baulieux, J Neidhardt
1Service de Réanimation médicale, hôpital de la Croix-Rousse, Lyon.
Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1991
Summary
Massive bowel resection patients often require long-term parenteral nutrition due to short residual bowel length. Survival rates highlight the critical need for advanced digestive intensive care unit interventions.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Critical Care Medicine
Context:
- Digestive intensive care unit setting
- Massive bowel resection cases (residual bowel ≤ 120 cm)
- Vascular etiology in 15 cases
Purpose:
- Evaluate outcomes of massive bowel resection
- Assess management strategies for short bowel syndrome
- Analyze factors influencing survival and oral alimentation
Summary:
- 27 patients underwent massive bowel resection; 15 had vascular etiology.
- Outcomes included "double temporary intestinal stoma" and "second look laparotomy".
- 19 patients received home parenteral nutrition; 11 survived.
Impact:
- Highlights the critical need for advanced care in massive bowel resection.
- Demonstrates the role of parenteral nutrition in managing short bowel syndrome.
- Suggests improved outcomes with surgical restoration of intestinal continuity.