Clinical Gastroenterology and Hepatology
Volume 3, Issue 11 , Pages 1066-1070, November 2005

Short-Bowel Syndrome

  • Alan L. Buchman

      Affiliations

    • Corresponding Author InformationAddress requests for reprints to: Alan L. Buchman, MD, MSPH, Gastroenterology Department, Northwestern University Medical School, Feinberg School of Medicine, Chicago, Illinois 60611; fax: (312) 695-3999.

published online 14 October 2005.

A 54-year-old man with a history of atrial fibrillation develops severe abdominal pain during lunch causing him to double over. He is taken to the emergency department of a local hospital where an acute abdomen is diagnosed. At emergency exploratory laparotomy an embolism is found in the superior mesenteric artery. The distal 200 cm of small intestine is gangrenous and resected. An additional 100 cm of intestine is dusky in appearance but viable. An ileostomy is created and the patient is admitted to the surgical intensive care unit. How should nutritional management be approached in this patient?

Abbreviations used in this paper:  IVC, inferior vena cava , ORS, oral rehydration solution , PEG, percutaneous endoscopic gastrostomy , PEJ, percutaneous endoscopic jejunostomy , SVC, superior vena cava , TPN, total parenteral nutrition

 

 Dr Buchman is a Consultant for and on the Speaker’s Bureau of Serono. He receives research support from and was a Consultant for NPS/Allelix.

PII: S1542-3565(05)00856-6

Clinical Gastroenterology and Hepatology
Volume 3, Issue 11 , Pages 1066-1070, November 2005