Factors affecting prognosis in patients with short bowel syndrome

D'Eredità, Giovanni and Ferrarese, Filippo and Cecere, Vincenzo and Fabiano, Gennaro (2003) Factors affecting prognosis in patients with short bowel syndrome. Il giornale di chirurgia, 24 (8/9). pp. 302-304. ISSN 1971-145x

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Abstract

Aim of the study is to analyse physiopathological implications of massive intestinal resection and factors affecting prognosis in patients with short bowel syndrome. Twenty massive intestinal resections were performed. The causes of bowel resection were: intestinal infarction (11 cases), Crohn’s disease (5 cases), small bowel volvulus (4 cases). All intestinal resec - tions were more than 50-60% of the intestinal length. In eighteen patients intestinal anastomosis was performed immediately. In all the patients postoperative therapy with parenteral nutrition (PN) was performed. The operative morbidity and thirty-day mortality were respectively 30% (6 cases) and 35 % (7 cases). The diarrhea was the dominant symptom. The average weight was 20% lower compared to the initial weight. The length of residual small bowel and type of anastomosis strongly affect survival of patients underwent massive intestinal resec - tions. Parenteral nutrition (PN) has great importance in postopera - tive treatment. A useful treatment, in severe short bowel syndrome, can be small bowel transplantation.

Item Type:	Article
Uncontrolled Keywords:	Sindrome da intestino corto, Fattori prognostici
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	24 Oct 2013 09:54
Last Modified:	24 Oct 2013 09:54
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6639

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