Short Bowel Syndrome: Amelioration of Diarrhea after Vagotomy and Pyloroplasty for Peptic Hemorrhage

Safioleas, Michael; Safioleas, Panagiotis; Diab, Ahmad I.; Karanikola, Evridiki; Safioleas, Constantinos

doi:10.1620/tjem.214.7

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…Клинически значимые симптомы нарушенного пищеварения в виде мальдигестии и мальабсорбции имеют место у большинства пациентов, перенесших резекцию более 60-70 % длины тонкой кишки. По другим данным явления кишечной недостаточности могут наблюдаться даже при длине оставшейся части тонкой кишки менее 200 см [9][10][11].…”

Section: краткая информация по заболеванию 1механизмы развития и эпид...unclassified

Clinical Recommendations of the Northwest Society for Enteral and Parenteral Nutrition, Interregional Association for Emergency Surgery, Russian Gastroenterological Association, Union of Rehabilitation Therapists of Russia and Russian Transplantation Society on Diagnosis and Treatment of Short Bowel Syndrome-Associated Intestinal Failure in Adults

Averyanova

Batyrshin

Kandyba

et al. 2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim. Current clinical recommendations address the epidemiology, causes, clinical manifestations and pathogenesis of possible immediate and long-term complications, as well as the problematic issues related to treatment and rehabilitation of adult short bowel syndrome patients.Key points. Short bowel syndrome (SBS) is a symptom complex of impaired digestion caused by the reduction of small intestine absorptive surface and manifested by intestinal failure (IF) of various severity (maldigestion and malabsorption) developing into malnutrition and systemic somatogenic disorders. The vital strategic aspects of its treatment are the personalisation of liquid, macro- and micronutrients consumption as well as avoidance of intestinal failure- and parenteral nutrition-associated complications. Various nutritional support regimes and the indications for infusion therapy and maintenance parenteral nutrition are considered in this patient category, also in outpatient settings. To mitigate the dependence on intravenous fluid- and nutrient administration and attain enteral autonomy in SBS-IF patients, the use of recombinant glucagon-like peptide-2 (GLP-2) is justified as exerting a pronounced trophic effect on the epithelial regenerative potential as well as structural and functional adaptation of intestinal mucosa. The SBS-IF patients prescribed with home parenteral nutrition and/or their caregivers should be trained in a special programme that covers the catheter care, preparation of infusion solutions and nutrient mixture container, infusion pump operation as well as the prevention, recognition and management of complications. The main referral indications for small bowel transplantation (SBT) are: fast-progressing cholestatic liver disease-complicated irreversible intestinal failure; thrombosis of two or more central venous conduits used for parenteral nutrition; recurrent catheter-associated bloodstream infection.Conclusion. Current recommendations on diagnosis and treatment as well as the developed criteria of medical aid quality assessment are applicable at different levels of healthcare.

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Section: краткая информация по заболеванию 1механизмы развития и эпид...unclassified

Clinical Recommendations of the Northwest Society for Enteral and Parenteral Nutrition, Interregional Association for Emergency Surgery, Russian Gastroenterological Association, Union of Rehabilitation Therapists of Russia and Russian Transplantation Society on Diagnosis and Treatment of Short Bowel Syndrome-Associated Intestinal Failure in Adults

Averyanova

Batyrshin

Kandyba

et al. 2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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“…Some patients, however, continue to have symptoms of peptic ulcer disease that eventually require surgical intervention. 153,157 Gastric resective therapy should be avoided when possible.…”

Section: Gastrointestinal Complicationsmentioning

confidence: 99%

Current Management of Short Bowel Syndrome

Thompson

Rochling

Weseman

et al. 2012

Current Problems in Surgery

109

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“…In order to avoid SBS, many techniques have been performed. Several methods directed at increasing absorption by prolonging transit time through the residual small intestine, like vagotomy and pyloroplasty[4] and recirculating small bowel loops[5] have been used. There are reports of methods for increasing the absorptive mucosal surface area by stimulating the development of jejunal neomucosa[6].…”

Section: Introductionmentioning

confidence: 99%

Alternative technique to save ischemic bowel segment in management of neonatal short bowel syndrome: A case report

Geng

Zhou

Ding

et al. 2019

WJCC

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BACKGROUNDCongenital short bowel syndrome (SBS) associated with malrotation, gut volvulus and jejuno-ileal atresia is a very rare condition. It is a severe challenge for surgeons to preserve residual ischemic bowel segment in the management of short bowel syndrome,especially in neonates.CASE SUMMARYWe report a newborn baby with gut malrotation associated with jejuno-ileal atresia, congenital SBS and jejunal volvulus. Hematemesis and abdominal distention were noted. At laparotomy, malrotation associated with jejuno-ileal atresia, congenital SBS and jenunal volvulus was confirmed. The total length of the small bowel was 63 cm with proximal jejunal bowel segment measuring 38 cm, including 18 cm necrotic segment below the Treitz’s ligament and 20 cm severe ischemic segment. The distal part of the small bowel was 25 cm in length and only about 0.8 cm in diameter. Ladd’s procedure, necrotic segment resection and end-to-back duodeno-ileal anastomosis were performed. The residual severe ischemic jejunum was preserved with single proximal stoma and distal end closure. Three months later, to restore the continuity of the isolated gut segment, end-to-end duodeno-jejunal and jejuno-ileal anastomosis was performed. The entire functional small bowel length increased to 80 cm. Intravenous fluid therapy and parenteral nutrition were discontinued on the 10th day postoperatively. Twelve months later, her body weight was 9.5 kg.CONCLUSIONIsolation of severe ischemic bowel segment and staged anastomosis to restore the gut continuity for infants with SBS are safe and feasible.

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Short Bowel Syndrome: Amelioration of Diarrhea after Vagotomy and Pyloroplasty for Peptic Hemorrhage

Cited by 5 publications

References 26 publications

Current Management of Short Bowel Syndrome

Alternative technique to save ischemic bowel segment in management of neonatal short bowel syndrome: A case report

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