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Predicting nutritional outcome after extensive small bowel resection
Author(s) -
Hyder S. A.,
George B. D.
Publication year - 2006
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2006.01102_8.x
Subject(s) - medicine , bowel resection , short bowel syndrome , resection , intestinal resection , surgery , ileocecal valve , inflammatory bowel disease , small intestine , gastroenterology , parenteral nutrition , ileum , disease
Extensive small bowel resection often results in the need for long‐term nutritional support. This study aimed to assess the factors affecting long term nutritional outcome following extensive small bowel resection. Method: Patients who underwent extreme small bowel resection were assessed. Indication for small bowel resection, length of remaining small bowel, presence of ileocaecal valve, colonic resection and long term total parental nutritional (TPN) requirements were recorded. Results: There were 24 patients of age range 28–79 (median 49 years). Fourteen were male. Indications for small bowel resection included Inflammatory bowel disease ( n = 13) Mesenteric ischemia ( n = 8) and miscellaneous ( n = 3). Patients were divided into three groups: Conclusion: Small bowel resection leaving <100 cm of small bowel is associated with a 70% chance of needing long‐term TPN. Presence of ileocaecal valve and/or some colon reduces the risk of long term TPN.