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[The overwhelmed intestine syndrome].
J Cosnes1, J P Gendre, Y Le Quintrec
1Service de Gastroentérologie et de Pathologie digestive post-opératoire, Hôpital Rothschild, Paris.
Gastroenterologie Clinique Et Biologique
|April 1, 1988
Summary
Patients with overwhelmed intestine syndrome (OIS) experience severe diarrhea after small intestinal resection. Complications and prognosis differ between induced and obligatory OIS, with obligatory cases often requiring long-term parenteral nutrition.
Area of Science:
- Gastroenterology
- Internal Medicine
- Surgical Outcomes
Context:
- Massive protracted diarrhea, defined as "overwhelmed intestine syndrome" (OIS), occurs post-small intestinal resection.
- The study included 54 patients with varying degrees of residual small bowel and stoma status.
- OIS presentation was categorized into induced (linked to hyperalimentation) and obligatory (independent of high caloric intake).
Purpose:
- To define and characterize the overwhelmed intestine syndrome (OIS) following small intestinal resection.
- To differentiate between induced and obligatory OIS patterns.
- To analyze the complications and nutritional requirements associated with each OIS pattern.
Summary:
- 54 patients with OIS were studied, with median residual small bowel of 120 cm.
- Hypocalcemia and hypomagnesemia were common; obligatory OIS patients faced more severe complications, including prolonged hospitalization and difficulty achieving enteral autonomy.
- Obligatory OIS necessitates definitive home parenteral nutrition, unlike induced OIS.
Impact:
- This research identifies OIS as a distinct functional entity.
- Prognosis and management strategies for OIS are dependent on its induced or obligatory nature.
- The findings highlight the critical need for home parenteral nutrition in patients with obligatory OIS.