| Massive small bowel resection during pregnancy causing short bowel syndrome. | |
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MedLine Citation:
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PMID: 22273214 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Massive small bowel infarction in pregnancy is rare but has devastating complications. Diagnosis is difficult because pregnancy masks the symptoms. Our aim was to assess risk factors and outcomes of massive resection associated with pregnancy. We conducted a review of nine patients with short bowel syndrome (SBS) secondary to massive bowel resection during pregnancy. The most common cause of bowel resection was midgut volvulus in seven patients. Four of these also had malrotation. Three others had previous abdominal operations, including gastric bypass. The two remaining patients had vascular insufficiency. Five of the nine patients presented after a cesarean delivery. There were three fetal deaths. Resulting small bowel length was less than 60 cm in all but one patient. All patients required parenteral nutrition (PN). Seven patients developed significant complications related to SBS and long-term PN. Four patients underwent transplantation. Massive small bowel resection during pregnancy is a devastating complication, which requires a high degree of suspicion to diagnose. Most patients have risk factors, which include previous surgery, congenital malrotation, and a hypercoagulable state. Surviving patients usually need long-term PN or transplantation. |
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Authors:
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Elena Boland; Jon S Thompson; Wendy J Grant; Jean Botha; Alan N Langnas; David F Mercer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 77 ISSN: 1555-9823 ISO Abbreviation: Am Surg Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1589-92 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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