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Updated: Jul 10, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

[Massive intestinal resection. Nutritional adaptation process].

S Leyva-Martínez¹, S Fernández-Lloret, J L Martín-Ruiz

¹*Unidad de Nutrición Clínica y Dietética, Hospital Universitario "San Cecilio" de Granada, España. ms.leyva.sspa@juntadeandalucia.es

Nutricion Hospitalaria

|November 1, 2007

Summary

This summary is machine-generated.

Massive small bowel resection (MSBR) patients can potentially stop total parenteral nutrition (TPN) with a structured adaptation protocol. This case study shows successful weaning from TPN in an MSBR patient through phased nutritional support.

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Area of Science:

Gastroenterology
Surgical Nutrition
Intestinal Rehabilitation

Background:

Massive small bowel resection (MSBR) often necessitates long-term total parenteral nutrition (TPN) due to severe malabsorption.
Patients with a jejunum remnant shorter than 60 cm face significant risks of dehydration, electrolyte imbalance, and malnutrition.

Observation:

A 32-year-old male with MSBR underwent a phased nutritional intervention following extensive intestinal resection.
The intervention involved hemodynamic stabilization, enteral stimulation, digestive adaptation with colonic integration, and eventual auto-sufficiency without parenteral support.
The patient received a combination of TPN, elemental formulas, oral solutions, glutamine, and pancreatic enzyme preparations throughout the process.

Findings:

The patient successfully transitioned from TPN to a free oral diet over 52 months.
Biochemical markers, fluid balance, weight, and fecal output indicated successful adaptation and nutritional recovery.
No clinical signs of deficiency or abnormal micronutrient levels were observed at the conclusion of the intervention.

Implications:

Early implementation of a tailored remnant adaptation protocol may enable TPN withdrawal in MSBR patients.
Favorable patient age and etiology can positively influence the success of intestinal rehabilitation after MSBR.
This case highlights a potential pathway for improving long-term outcomes and quality of life for MSBR survivors.