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Journal of Zhejiang University SCIENCE A 2001 Vol.2 No.3 P.329-332

http://doi.org/10.1631/jzus.2001.0329


SEVERE SHORT-BOWEL SYNDROME AFTER TOTAL SMALL BOWEL RESECTION


Author(s):  CHEN Li, WANG Bin, LIU Jian, DAI Ning

Affiliation(s):  The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China; more

Corresponding email(s): 

Key Words:  short bowel syndrome(SBS), postoperative complications, intestine


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CHEN Li, WANG Bin, LIU Jian, DAI Ning. SEVERE SHORT-BOWEL SYNDROME AFTER TOTAL SMALL BOWEL RESECTION[J]. Journal of Zhejiang University Science A, 2001, 2(3): 329-332.

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Abstract: 
Extensive intestine resection may result in short bowel syndrome (SBS) which is difficult to 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.

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