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Related Experiment Videos

Colon interposition for the short bowel syndrome

V F Garcia, J M Templeton, M R Eichelberger

    Journal of Pediatric Surgery
    |December 1, 1981
    PubMed
    Summary

    A pediatric patient with severe diarrhea after small bowel resection underwent colon interposition surgery. This procedure successfully increased intestinal transit time, allowing for oral feeding and improved quality of life.

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    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Surgical Innovation

    Background:

    • Massive small bowel resection in infants can lead to severe malabsorption and diarrhea.
    • Short bowel syndrome presents significant challenges in nutritional management.
    • Rapid transit time is a hallmark of functional impairment post-resection.

    Observation:

    • A 5-month-old male infant presented with disabling diarrhea and malabsorption after extensive small bowel resection.
    • Initial conservative management for 9 months failed to resolve the symptoms.
    • The patient's intestinal transit time was measured at a rapid 10 minutes.

    Findings:

    • A 24-cm isoperistaltic segment of colon was surgically interposed 6.5 cm from the ligament of Treitz.
    • Following the interposition, intestinal transit time significantly increased to 105 minutes.

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  • The patient was subsequently able to tolerate an enteric diet without significant diarrhea.

    • Implications:

    • Colon interposition is a viable surgical option for managing short bowel syndrome with rapid transit.
    • This technique minimizes manipulation of the remaining small intestine.
    • The procedure effectively increases transit time without relying on creating intestinal obstruction.