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

Should intestinal continuity be restored after massive intestinal resection?

B T Nguyen1, G J Blatchford, J S Thompson

  • 1Omaha Veterans Administration Medical Center, Nebraska.

American Journal of Surgery
|December 1, 1989
PubMed
Summary

Maintaining intestinal continuity after massive intestinal resection is recommended only for select patients with sufficient bowel length (>3 feet) and no need for colonic anastomosis. This approach balances stoma avoidance against potential dietary and discomfort issues.

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

Predictive factors for lack of neurological improvement in acute stroke patients without large vessel occlusion treated with low-dose thrombolysis and screened with 3T MRI.

European review for medical and pharmacological sciences·2024
Same author

Soft tissue regeneration in animal models using grafts from adipose mesenchymal stem cells and peripheral blood fibrin gel.

European review for medical and pharmacological sciences·2023
Same author

The extrachromosomal elements of the Naegleria genus: How little we know.

Plasmid·2021
Same author

Immunization in Vietnam.

Annali di igiene : medicina preventiva e di comunita·2019
Same author

Levels of understanding of the rules of correct medical usage among vietnamese pharmacy students: a cross-sectional study.

Journal of preventive medicine and hygiene·2019
Same author

The utility of optical coherence tomography for diagnosis of basal cell carcinoma: a quantitative review.

The British journal of dermatology·2018

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Massive intestinal resection presents challenges in managing intestinal continuity.
  • Enterostomy creation is common due to bowel viability concerns and anastomosis requirements.

Purpose of the Study:

  • To determine optimal timing for restoring intestinal continuity after massive intestinal resection.
  • To identify patient selection criteria for maintaining intestinal continuity during initial surgery.

Main Methods:

  • Retrospective review of 32 patients undergoing massive intestinal resection.
  • Analysis of factors influencing the decision to create an enterostomy versus maintain continuity.
  • Assessment of long-term outcomes based on initial surgical management.

Main Results:

Related Experiment Videos

  • Enterostomy was performed in 66% of patients, with only 20% having subsequent continuity restoration.
  • Intestinal continuity was maintained initially in 34% of patients, but only 36% achieved satisfactory long-term outcomes.
  • Overall, 45% of patients followed long-term had maintained intestinal continuity.
  • Patients with bowel remnants <3 feet frequently required an enterostomy.

Conclusions:

  • Restoring intestinal continuity during massive resection should be reserved for carefully selected patients.
  • Key criteria include ensured bowel viability, remnant length >3 feet, and absence of required colonic anastomosis.
  • Maintaining continuity avoids stoma inconvenience but may lead to dietary restrictions and perianal discomfort.