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[Short bowel syndrome]

N Calomino1, M Malerba, G Oliva

  • 1Policlinico Le Scotte, Università degli Studi, Siena.

Minerva Chirurgica
|January 12, 1999
PubMed
Summary
This summary is machine-generated.

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Two patients with intestinal infarct underwent extensive bowel resection, retaining 40-50 cm of intestine. Both successfully transitioned from artificial nutrition to a normal diet, achieving good quality of life.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Clinical Nutrition

Background:

  • Intestinal infarct necessitates extensive bowel resection, potentially leading to short bowel syndrome.
  • Preservation of the ileocecal valve (Bauin valve) is crucial for intestinal function but may not always be feasible due to prior surgery or disease.
  • Management of short bowel syndrome requires careful nutritional support to ensure patient recovery and long-term well-being.

Observation:

  • Two patients with intestinal infarct underwent significant intestinal resection, resulting in residual bowel lengths of 40 cm and 50 cm.
  • In one case, the ileocecal valve was sacrificed during a previous operation for cecal neoplasm; in the other, it could not be preserved during the resection.
  • Postoperatively, patients required intensive care followed by total parenteral nutrition, gradually transitioning to enteral nutrition and then an oral diet.

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Findings:

  • Patients successfully weaned off artificial nutrition (parenteral and enteral) after a period of intensive nutritional management.
  • Both patients achieved stabilization with independent oral intake.
  • A good quality of life was reported by both patients despite the extensive bowel resection and loss of the ileocecal valve.

Implications:

  • Extensive intestinal resection for infarct, even with loss of the ileocecal valve, can be managed successfully with tailored nutritional strategies.
  • Early and progressive nutritional rehabilitation is key to achieving independence from artificial nutrition and improving patient outcomes.
  • This case series highlights the potential for recovery and good quality of life in patients with short bowel syndrome following major intestinal surgery.