Document Detail


Parenteral nutrition independence in a patient left with 25 cm of ileum and jejunum: a case report.
MedLine Citation:
PMID:  20186575     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 44-year-old woman with a history of Roux-en-Y gastric bypass (RYGBP) suffered small bowel volvulus. She was left post-operatively with an intact duodenum, 25 cm of jejunum and ileum, and a colon in continuity, a situation synonymous to short bowel syndrome. This report describes her surgical, medical and nutritional follow-up until complete weaning of parenteral nutrition despite of her very short remnant small bowel and persistently low citrullinemia. The discussion aims at demonstrating the rarity of these complications after RYGBP according to the literature. Furthermore, it challenges the validity of the present markers of parenteral nutrition independence (remnant small bowel length, citrullinemia) in case of short bowel syndrome.
Authors:
Laurence Genton; Patrizia Nardo; Olivier Huber; Claude Pichard
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-02-26
Journal Detail:
Title:  Obesity surgery     Volume:  20     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-08     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  666-71     Citation Subset:  IM    
Affiliation:
Clinical Nutrition, Geneva University Hospital, Rue Gabrille-Perret-Gentil 4, 1211 Geneva 14, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Citrullinemia / etiology*,  therapy
Female
Gastric Bypass / adverse effects*,  methods
Humans
Ileum / surgery*
Intestinal Volvulus
Jejunum / surgery*
Parenteral Nutrition / methods*
Short Bowel Syndrome / complications*
Treatment Outcome

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


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