Jejunal interposition for short bowel syndrome in a septuagenarian

Author:

Gee Tikfu1ORCID,Lim Shu Yu1,Sudhakaran Nadarajan2,Hassan Muhammad Firdaus3

Affiliation:

1. Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor

2. Multidisciplinary Clinic, Prince Court Medical Centre, 39, Jalan Kia Peng, 50450 Kuala Lumpur, Wilayah Persekutuan, Malaysia

3. Department of Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia

Abstract

Abstract Short bowel syndrome in adults occurs as a result of massive small intestinal resection commonly due to severe Crohn’s disease, volvulus or tumors. Diarrhea and weight loss are hallmarks of malabsorption which are aggravated if the colon is removed along with the small intestinal resection. Enteral nutrition autonomy is difficult to achieve in such cases of malabsorption where parenteral nutrition are required more often than not. We report a case of short bowel syndrome with severe malabsorption following extensive small bowel removal. The patient eventually underwent intestinal rehabilitation surgery and achieved independence from parenteral nutrition.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference5 articles.

1. Short bowel syndrome: metabolic and surgical management;Shanbhogue;Br J Surg,1994

2. Surgical alternatives for the short bowel syndrome;Thompson;Am J Gastroenterol,1987

3. Surgical options in short bowel syndrome;Rodríguez-Montes;J Paedi Care Inol,2016

4. Segmental reversal of the small bowel as an alternative to intestinal transplantation in patients with short bowel syndrome;Panis;Ann Surg,1997

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