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[The problem of malabsorption after resection of the small intestine]
Abstract:
During the period from 1971 to 1981 in 145 patients (108 adults and 37 children) partial resections of the intestine were practiced (in the surgical clinic of the Friedrich-Schiller-University, Jena). Fatality on the whole was about 25%. The surgical intervention with an extensive resection (more than 150 cm) was well tolerated by seven among 13 patients. Even in cases of shorter resections disturbances of resorption could be found especially for carbohydrates and vitamin B 12. Control examinations are necessary and therapeutic consequences have to be drawn.
Insights
Partial intestinal resections in 145 patients showed a 25% fatality rate. Even shorter resections caused malabsorption issues, particularly for carbohydrates and vitamin B12, necessitating follow-up care.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Clinical Medicine
Context:
- A decade-long study (1971-1981) at Friedrich-Schiller-University, Jena.
- Focused on 145 patients (108 adults, 37 children) undergoing partial intestinal resection.
- Evaluated outcomes and complications of intestinal resection surgery.
Purpose:
- To assess the outcomes and complications associated with partial intestinal resection.
- To identify specific malabsorption issues post-resection.
- To determine the necessity of follow-up examinations and therapeutic interventions.
Summary:
- Partial intestinal resections were performed on 145 patients, resulting in an overall fatality rate of approximately 25%.
- Extensive resections (>150 cm) were tolerated by a majority of patients (7/13).
- Shorter resections also led to significant malabsorption, notably affecting carbohydrate and vitamin B12 absorption.
Impact:
- Highlights the significant risks and potential complications, including malabsorption, following intestinal resection.
- Underscores the critical need for regular patient monitoring and tailored therapeutic strategies post-surgery.
- Informs surgical decision-making and patient management protocols for intestinal resection cases.