Massive Intestinal Resection

Risk factors for short bowel syndrome in patients with Crohn’s disease

“…Intestinal recovery can be loosely categorized into three periods: the immediate postoperative period (up to 3-4 weeks after surgery), the recovery and adaptation period (up to 12 months after surgery), and the stabilized period (several years after surgery) [15,16]. SBS short bowel syndrome, 5-ASA 5-aminosalicylic acid Paralytic ileus persists for up to 1 week after surgery, but then changes to ''intestinal hurry'', with resulting loss of fluids and electrolytes and malabsorption of nutrients.…”

Gastric secretion after massive small bowel resection

“…In this paper 19 patients have been studied after massive intestinal resection, that is, by definition, resection of more than a third or 300 cm of small intestine (Haymond, 1935;Pullan, 1959). In addition eight dogs, five with Heidenhain pouches and three with Pavlov pouches, have had gastric investigations before and after 75 % intestinal resection.…”

The use of synthetic diets in surgical patients

“…The problem, however, is the design of a suitable diet. Apart from very few substances (notably cyanocobalamin) there is little evidence of regionalization of absorption in the gastrointestinal tract (Booth and Mollin, 1956, 1957, 1959. Neither is the problem one of digestion; proteins and fats are adequately hydrolysed and sugars are degraded in any bowel, however short it may be (Isselbacher and Senior, 1964).…”