Abstract
Extensive intestine resection may result in short bowel syndrome (SBS) which is difficult of manage. This study reports a rare SBS case in a 6-year-old boy following resection of total jujunoileum and right colon. Our experience in 4-years follow-up and literature reports on SBS is discussed. The purpose of this study was also to evaluate the nutritional absorptive capacity and intestinal adaptation. In the 15th postoperative month, barium x-ray study showed a significantly extended and enlarged duodenum and colon. The intestinal transit time was prolonged to 22 hours. The absorption rate of palmic acid, glycine and D-xylose had increased from 57%, 50% and 4% respectively in the 15th postoperative month, to 75%, 65% and 6% in the 2nd postoperative year. His absorptive capacity allowed him normal oral feeding and normal school life. Our data confirmed the reports of the colon as an energy-salvage organ, and suggested that it may have some capacity to absorb long-chain fatty acids and amino acids.
References
Booth, I. W., 1994. Enteral nutrition as primary therapy in short bowel syndrome.Gut supplement (Suppl.),1:69–72.
Byme, T. A., Persinger R. L., Young, LS. et al., 1995. A new Treatment for patients with short-bowel syndrome: Growth hormone, glutamine, and a modified diet.Ann Surg,222:243–255.
Deltz, E., 1993. Development and perspectives of small intestine transplantation.Langenbecks Arch Chir,378:262–264.
Georgeson, K., Halpin, D., Figueroa, R., et al., 1994. Sequential intestinal lengthening procedures for refractory short bowel syndrome.J Pediatr Surg,29:316–320.
Grosfeld, J. L., Rescoria, F. J. West, K. W., 1986. Short bowel syndrome in infancy and children.Am J Surg,151:41–46.
Huskisson, L. J., Brereton, R. J., Kiely, E. M., 1993. Spitz-L: Problems with intestinal lengthening.J Pediatr Surg,28:720–732.
Jeppesen, P. B., Mortensen, P. B., 1998. Significance of a preserved colon for parenteral energy requirements in patients receiving home parenteral nutrition.Scand J Gastroenterol,33:1175–1179.
**, D. Y., W, Z. H., Huang, D. N., et al. 1993. Protein metabolism after total small bowel resection.Chin J Surg,31:49(in Chinese, with English abstract).
Kocoshis, S. A., Tzakis, A., Todo, S., et al. 1993. Pediatric liver transplantation. History, recent innovations, and outlook for the future.Clin Pediatr Phila,32:386–392.
Kurkchubasche, A. G., Rowe, M. I., Smith, S. D., 1993. Adaptation in short-bowel sytndrome: reassessing old limits.J Pediatr Surg,28: 1069–1071.
Lai, H. S., Chen, W. J., Chen, K. M., 1989. Effects of monomeric and polymeric diets on small intestine following massive resection.Taiwan I Hsueh Hui Tsa Chih,88:982–988.
Levy, E., Frileux, P., Sandrucci, S., et al., 1988. Continous enteral nutrition during the early adaptive stage of the short bowel syndrome.Br J Surg,75:549–553.
Nordgaard, I., Hansen, B. S., Mortensen, P. B., 1994. Colon as a digestive organ in patients with short bowel.Lancet,343:373–376.
Vanderhoof, J. A., Langnas, A. N., 1997. Short-bowel syndrome in children and adults.Gastroenterology,113:1167–1778.
Weber, T. R., Tracy, T., Connors, R. H., 1991. Short bowel syndrome in children.Arch Surg,126:841–846.
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Li, C., Bin, W., Jian, L. et al. Severe short-bowel syndrome after total small bowel resection. J. Zhejiang Univ.-Sci. 2, 329–332 (2001). https://doi.org/10.1631/BF02839470
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DOI: https://doi.org/10.1631/BF02839470