A CASE OF TOTAL RESECTION OF JEJUNUM AND ILEUM
| Autor: | Takeshi Kadota, Yoshikazu Suzuki, Hironobu Shinohara, Kanji Iwahashi, Kengo Tsunekawa, Kazuhide Iwakawa |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment digestive oral and skin physiology Ileum medicine.disease digestive system Gastroenterology Small intestine Resection Jejunum Ileocecal valve medicine.anatomical_structure Embolism Internal medicine medicine Gastrectomy Cholecystectomy business |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 51:1302-1307 |
| ISSN: | 0386-9776 |
| DOI: | 10.3919/ringe1963.51.1302 |
| Popis: | A case of total resection of jejunum and ileum is reported, together with a review of 19 cases of extremely massive resection of small intestine living. The patient was a 58-year-old man who had undergone esophageal operation 6 months previously, and total resection of jejunum and ileum was perfomed because of SMA embolism. He was treated with TPN, but died 8 months after operation because of heaptic failure with cholangitis. Review of the 19 cases indicate that, the patients whose residual jejunum and ileum lengthen into 50cm and less with intact ileocecal valve can possibly live without TPN and ED, and a long term nutritional treatment considering of the compensatory function of residual intestine is necessary. Furthermore, in a patinet whose residual jejunum and ileum lengthen into 50cm and less without ileocecal valve or already undergone gastrectomy, cholecystectomy should be considered. |
| Databáze: | OpenAIRE |
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