Document Detail


Long term nutritional effects of extensive resection of the small intestine.
MedLine Citation:
PMID:  6816204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A nutritional study was carried out on 36 patients several years after major resection of the small intestine (100 to 330 cm). Thirty one of these resections had been performed for Crohn's disease and only patients who had been clinically free of disease for more than one year were studied. The group of patients were 15% below their ideal weight. Total body fat was 24% below the predicted normal value and total body protein was 10% below. Although deficiencies of iron, vitamin B12 and folic acid were frequently found, only six patients were anaemic. Other vitamin and mineral deficiencies were common. Despite these abnormalities, two thirds of the patients were engaged in their normal occupation full time and were subjectively well. The others who did not regain their normal capacity for work, had a greater nutritional deficit and a shorter length of remaining small intestine. It is concluded that nutritional deficiencies are common following extensive small bowel resection and all patients need regular follow up and appropriate vitamin and mineral supplementation. However, major disturbances of body composition and severe protein energy malnutrition with a reduced capacity for work are restricted to a small number of patients with very short lengths of remaining small intestine.
Authors:
C P Bambach; G L Hill
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  52     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1982 Oct 
Date Detail:
Created Date:  1983-01-19     Completed Date:  1983-01-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  500-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Proteins / analysis
Body Composition
Female
Humans
Intestine, Small / surgery*
Male
Middle Aged
Minerals / blood
Nutritional Physiological Phenomena*
Postoperative Complications / etiology
Protein-Energy Malnutrition / etiology
Vitamins / blood
Work Capacity Evaluation
Chemical
Reg. No./Substance:
0/Blood Proteins; 0/Minerals; 0/Vitamins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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