#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Short Bowel Syndrome and Limits of Small Intestinal Resections


Authors: A. Prochotský 1;  Ľ. Jančula 2;  J. Škultéty 1;  A. Vavrečka 2;  J. Sekáč 1;  R. Okoličány 1;  V. Slezák 1;  A. Mifkovič 1
Authors‘ workplace: II. chirurgická klinika LF UKo, FNsP Bratislava, Slovenská republika, prednosta doc. MUDr. J. Škultéty, CSc. 1;  Gastroenterologická klinika Slovenskej zdravotníckej univerzity, Bratislava, Slovenská republika prednosta prof. MUDr. A. Vavrečka, CSc. 2
Published in: Rozhl. Chir., 2008, roč. 87, č. 6, s. 311-316.
Category: Monothematic special - Original

Overview

Short bowel syndrome (SBS) is a malabsorption syndrome resulting from anatomical or functional loss of a significantly long small intestinal segment. A loss over 80% of the small intestinal length is associated with increased urgency for supportive parenteral nutrition and results in reduced overall survival of the patients. The ileocaecal valve (valvula Bauhini) loss results in bacterial contamination of the small intestine, affecting tolerability of the oral, ev. enteral nutrition. The authors present a case review of a 27-year-old patient with repetitive small intestinal resections. The last procedure included the Bauhini valve and, finally, the patient has only 70 cm of the jejunum preserved.

Key words:
short bowel syndrome – malnutrition – complete parenteral nutrition – major small intestinal resection


Sources

1. Abu-Elmagd, K., Reyes, J., Todo, S., Rao, A., Lee, R., Irish, W. Clinical intestinal transplantation: new perspectives and immunologic considerations. J. Am. Coll. Surg., 1998, roč. č. 5, s. 512–525; diskusia s. 525–527.

2. Baldwin-Price, H. K., Copp, D., Singleton, A. O. Reversed intestinal segments in the management of anenteric malabsorption syndrome. Ann. Surg., 1965, roč. 161, s. 225–230.

3. Booth, I. W. Enteral nutrition as primary therapy in short bowel syndrome. Gut., 1994, roč.35, Suppl. 1, S 69–72.

4. Borgstrom, B., Dahlquist, A., Lundh, G. Studies of intestinal digestion and absorption in the human. J. Clin. Invest., 1957, roč. 36, s. 1521–1536.

5. Byrne, T. A, Persinger, R. L, Young, L. S, Ziegler, T. R, Wilmore, D. W. A new treatment for patients with short-bowel syndrome. Growth hormone, glutamine, and a modified diet. Ann. Surg., 1995, roč. 86, č. 5, s. 243–254, diskusia s. 254–255.

6. Carbonnel, F., Cosnes, J., Chevret, S., Beaugerie, L., Ngo, Y., Malafosse, M. The role of anatomic factors in nutritional autonomy after extensive small bowel resection. JPEN J. Parentel. Enteral. Nutr., 1996, roč. 20, č. 4, s. 275–280.

7. Cavicchi, M., Beau, P., Crenn, P., Degott, C, Messing, B. Prevalence of liver disease and contributing factors in patients receiving home parenteral nutrition for permanent intestinal failure. Ann. Intern. Med., 2000, roč. 132, č. 7, s. 525–532.

8. Cicalese, L., Baum, C., Brown, M., Sileri, P., Smith, D., Abcarian, H. Segmental small bowel transplant from adult living-related donors. Transplant. Proc., 2001, roč. 33, č. 1–2, s. 1553–1558.

9. Cicalese, L., Rastellini, C., Sileri, P., Abcarian, H., Benedetti, E. Segmental living related small bowel transplantation in adults. J. Gastrointest. Surg., 2001, roč. 5, č. 2, s. 168–172; diskusia s. 173.

10. Clarke, R. M. Mucosal architecture and epithelial cell production rate in the small intestine of the albino rat. J. Anat., Nov. 1970, roč. 107, č. 3, s. 519–529.

11. Farthing, M. J. Octreotide in dumping and short bowel syndromes. Digestion, 1993, roč. 54, Suppl. 1, s. 47–52.

12. Howard, L., Ament, M., Fleming, C. R., Shike, M., Steiger, E. Current use and clinical outcome of home parenteral and enteral nutrition therapies in the United States. Gastroenterology, 1995, roč. 109, č. 2, s. 355–365.

13. Javid, P. J., Kim, H. B., Duggan, C. P., Jaksic, T. Serial transverse enteroplasty is associated with successful short-term outcomes in infants with short bowel syndrome. J. Pediatr. Surg., 2005, roč. 40, č. 6, s. 1019–1023; diskusia s. 1023–1024.

14. Johansson, C. Studies of gastrointestinal interactions. VII. Characteristics of the absorption pattern of sugar, fat and protein from composite meals in man. A quantitative study. Scand. J. Gastroenterol., 1975, roč. 10, č. 1, s. 33–42.

15. Kabátová, Z., Profant, M., Šimko, M., Šimková, Ľ., Groma, M. Výsledky kochleárnej implantácie na Slovensku. Lekárske listy – Odborná príloha Zdravotníckych novín, 2003, roč. 5, č. 27, s. 24–25.

16. Ladefoged, K., Hessov, I., Jarnum, S. Nutrition in short-bowel syndrome. Scand. J. Gastroenterol. Suppl., 1996, s. 122–131.

17. Langnas, A. N, Shaw, B. W. Jr., Antonson, D. L., Kaufman, S. S., Mack, D. R., Heffron T. G. Preliminary experience with intestinal transplantation in infants and children. Pediatrics, 1996, roč. 97, č. 4, s. 443–448.

18. Lennard-Jones, J. E. Indications and need for long-term parenteral nutrition: implications for intestinal transplantation. Transplant. Proc., 1990, roč. 22, č. 6, s. 2427–2429.

19. Lennard-Jones, J. E. Review article: practical management of the short bowel. Aliment. Pharmacol. Ther., 1994, roč. 4, č. 6, s. 563–577.

20. Moreno, J. M., Planas, M., Lecha, M., Virgili, N., Gomez-Enterría, P., Ordonez, J. The year 2002 national register on home-based parenteral nutrition. Nutr. Hosp., 2005, roč. 20, č. 4, s. 249–253.

21. Nightingale, J. M., Lennard-Jones, J. E. The short bowel syndrome: what‘s new and old? Dig. Dis., 1993, roč. 11, č. 1, s. 12–31.

22. Panis, Y., Messing, B., Rivet, P., Coffin, B., Hautefeuille, P., Matuchansky, C. Segmental reversal of the small bowel as an alternative to intestinal transplantation in patients with short bowel syndrome. Ann. Surg., 1997, roč. 225, č. 4, s. 401–407.

23. Phillips, S. F., Giller, J. The contribution of the colon to electrolyte and water conservation in man. J. Lab. Clin. Med., 1973, roč. 81, č. 5, s. 733–746.

24. Quigley, E. M., Marsh, M. N., Shaffer, J. L., Markin, R. S. Hepatobiliary complications of total parenteral nutrition. Gastroenterology, 1993, roč. 104, č. 1, s. 286–301.

25. Scolapio, J. S., McGreevy, K., Tennyson, G. S., Burnett, O. L. Effect of glutamine in short-bowel syndrome. Clin. Nutr., 2001, roč. 20, č. 4, s. 319–323.

26. Stern, L. E., Erwin, C. R., O‘Brien, D. P., Huang, F., Warner, B. W. Epidermal growth factor is critical for intestinal adaptation following small bowel resection. Microsc. Res. Tech., 2000, roč. 51, č. 2, s. 138–148.

27. Thompson, J. S., Langnas, A. N. Surgical approaches to improving intestinal function in the short-bowel syndrome. Arch. Surg., 1999, roč. 134, č. 7, s. 706–709; diskusia s. 709–711.

28. Thompson, J. S., Langnas, A. N., Pinch, L. W., Kaufman, S., Quigley, E. M., Vanderhoof, J. A. Surgical approach to short-bowel syndrome. Experience in a population of 160 patients. Ann. Surg., 1995, roč. 111, č. 4, s. 600–605, diskusia s. 605–607.

29. Thompson, J. S., Pinch, L. W., Young, R., Vanderhoof, J. A. Long-term outcome of intestinal lengthening. Transplant. Proc., 2000, roč. 32, s. 1242–1243.

30. Todo, S., Reyes, J., Furukawa, H., Abu-Elmagd, K., Lee, R. G., Tzakis, A. Outcome analysis of 71 clinical intestinal transplantations. Ann. Surg., 1995, roč. 111, č. 3, s. 270–280; diskusia s. 280–282.

31. Vanderhoof, J. A., Langnas, A. N. Short-bowel syndrome in children and adults. Gastroenterology, 1997, roč. 26, č. 5, s. 1767–1778.

32. Weser, E. Nutritional aspects of malabsorption: short gut adaptation. Clin. Gastroenterology, 1983, roč. 12, č. 2, s. 443–461.

33. Wilmore, D. W., Dudrick, S. J., Daly, J. M., Vars, H. M. The role of nutrition in the adaptation of the small intestine after massive resection. Surg. Gynecol. Obstet., 1971, roč. 97, č. 4, s. 673–680.

34. Wilmore, D. W., Lacey, J. M., Soultanakis, R. P., Bosch, R. L., Byrne, T. A. Factors predicting a successful outcome after pharmacologic bowel compensation. Ann. Surg., 1997, roč. 113, č. 3, s. 288–292; diskusia s. 292–293.

35. Wilmore, D. W, Robinson, M. K. Short bowel syndrome. World J. Surg., 2000, roč. 24, č. 12, s. 1486–1492.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#