Document Detail


A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition.
MedLine Citation:
PMID:  25018889     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We present a 50-year-old male who suffered from ischemic bowel disease, having undergone massive resection of small intestine and ileocecal valve. He had to cope with 40 cm proximal jejunum and 70 cm distal colon remaining. In the postoperative period parenteral nutrition (PN) was used immediately for nutrition support and electrolyte imbalance correction. We gave him home PN as regular recommendation for the short bowel status after discharge from hospital. This patient has tolerated regular oral intake 2 months later and did not develop significant short bowel syndrome. There were several episodes of venous access infection which troubled this patient and admitted him for treatment during home PN. Therefore, we changed home PN to cyclic tapering pattern. The patient could maintain his nutrition and hydration with oral intake alone after tapering home PN 15 months later. He has survived more than one year without PN support and still maintained 80% ideal body weight with average albumin of 3.5 ± 0.2 mg/dL. Although patient was hospitalized every two months to supplement nutrients, however, this has greatly improved the quality of life.
Authors:
Ming-Yi Liu; Hsiu-Chih Tang; Hui-Lan Yang; Sue-Joan Chang
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Publication Detail:
Type:  Journal Article     Date:  2014-06-15
Journal Detail:
Title:  Case reports in surgery     Volume:  2014     ISSN:  2090-6900     ISO Abbreviation:  Case Rep Surg     Publication Date:  2014  
Date Detail:
Created Date:  2014-07-14     Completed Date:  2014-07-14     Revised Date:  2014-07-17    
Medline Journal Info:
Nlm Unique ID:  101580191     Medline TA:  Case Rep Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387307     Citation Subset:  -    
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