Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Short-Gut Syndrome: A New Surgical Technique and Ultrastructural Study of the Liver and Pancreas

Short-Gut Syndrome: A New Surgical Technique and Ultrastructural Study of the Liver and Pancreas Abstract • Massive (85%) resection of the small bowel was performed in 24 dogs to study a new surgical technique. In 12 dogs, two valves were created in the remaining small bowel at the same time, one proximal and the other distal to the anastomosis; the other 12 dogs constituted the control group. Biochemical tests, clinical evolution, and the weight curves show satisfactory results, with high survival, high lipid absorption, and low impairment of the overall condition. The valves can be created at the same time as the resection without any increase in the surgical risk. This new technique shows some possible advantages, and should be used in combination with total parenteral nutrition during the early stages and with basic diets thereafter. Ultrastructural alterations in the liver and pancreas have been studied in both groups. (Arch Surg 1982;117:789-795) References 1. Kremen AJ, Linner JH, Nelson CM: An experimental evolution of the nutritional importance of proximal and distal small intestine . Ann Surg 1954;140:439-448.Crossref 2. Keller JW, Stewart WRC, Westerheide R, et al: Prolonged survival with paired reversal segments after massive intestinal resection . Arch Surg 1965;91:174-179.Crossref 3. Croot HJ: Extensive resection of the small intestine . Br Med J 1952;1:195-199.Crossref 4. Cogswell HD: Massive resection of the small intestine . Ann Surg 1948;127:377-383.Crossref 5. Ballinger WF, Cristh MG, Ashby WB: Autotransplantation of the small intestine: The effect of denervation . Surgery 1962;52:151-158. 6. Garrido H, Lucea C, Ruiperez S, et al: Homotransplant of the small intestine and the graft-versus-host reaction . Eur J Clin Biol Res 1970;15:547-551.Crossref 7. Garrido H, de Diego JA, Clavo Cano M, et al: Homograft of the small intestine : Int Surg 1975;60:351-354. 8. Frederick PL, Craig T: The effect of vagotomy and piloplasty on weight loss and survival of dogs after massive intestinal resection . Surgery 1964;56:135-143. 9. Albo RJ, Angotti D, Sorensen D, et al: Value of selective and truncal vagotomy in massive bowel resection . Am J Surg 1974;128:234-241.Crossref 10. Lagache C, Depadt G, Lehut JM, et al: Les effects de la vagotomie après resection étendues du grêle: Etude experimentale . Acta Gastroenterol Belg 1973;36:140-148. 11. Hucher NE, Salzberg AM: Preileal transposition of colon to prevent the development of short bowel syndrome in puppies with 90 percent small intestinal resection . Surgery 1971;70:189-197. 12. Gerwing WH, Graphery A: Experimental attempt to delay alimentary transit after small bowel exclusion . Arch Surg 1960;87:50-57. 13. Baldwin-Price HK, Capp D, Singleton AD Jr: Reversed intestinal segments in management of ananteric malabsorption syndrome . Ann Surg 1965;161:225-230.Crossref 14. Depadt G, Laurent JC, Bounoville M: Etude experimentale des inversions d'anse grêle (simple et double) après interectomie étendue . Acta Gastroenterol Belg 1973;36:126-139. 15. Honore D, Lejeune G, Biver A, et al: Aspects chirurgicaux des resections étendues de l'intestin grêle . Acta Gastroenterol Belg 1973;36:80-91. 16. Wright HK, Tilson MD: The short gut syndrome . Curr Probl Surg June 1971, pp 3-51. 17. Budding J, Smith CC: Role of recirculating loops in the management of massive resection of the small intestine . Surg Gynecol Obstet 1967;125:243-249. 18. Cuthbertson EM, Gilfillan RS, Burhenne HS, et al: Massive small bowel resection in the beagle including laboratory data in severe undernutrition . Surgery 1970;68:697-705. 19. Burrington JD: Surgery after massive small bowel resection . Am J Surg 1971;121:213-214.Crossref 20. Altman DP, Ellison EH: Massive intestinal resection: Inadequacies of the recirculating loop . Surg Forum 1965;16:365-367. 21. Grier RL, Nelson AW, Lumb WV: Experimental sphincter for short bowel syndrome. 1971;102:203-208. 22. Waddell WR, Kern F Jr, Halgrimson G, et al: A simple jejunocolic valve . Arch Surg 1970;100:438-444.Crossref 23. Shiller WR, Didio JA, Anderson MC: Production of artificial sphincters: Ablation of the longitudinal layer of the intestine . Arch Surg 1967;95:436-441.Crossref 24. Stahlgren LH, Roy RH, Umana G: A mechanical impediment to intestinal flow . JAMA 1964;187:41-44.Crossref 25. Torbey K, Waddel WR: Function of the colon after removal of anal sphincters and replacement by denervated ileal segments . Ann Surg 1961;154:424-431.Crossref 26. Singleton AO Jr, Redmond DC, Murray JE: Ileocecal resection and small bowel transit and absorption . Ann Surg 1964;159:690-691.Crossref 27. Blomer A, Dux A, Lenz H: Myotomic eine chirurgische Methode zur Verlangsammung der dünn Darmpassage: Funktionelle Chirurgie des dünn Darmes . Arch Franc Mal App Dig 1972;5( (suppl 2) : Biologic Gastroenterologie): 6-7, 504c. 28. Perissat J, Masson B, Gouffrant JM, et al: Resection massive de l'intestine grêle: Une technique d'anastomose frenatrice du transit étude experimentale chez le chien . J Chir 1974;108:179-186. 29. Cheville N: Cell Pathology . Ames, Iowa, Iowa State University Press, 1976. 30. Brugera M, Beltran A, Bombi JA, et al: Giant mitochondria in hepatocytes: A diagnosis hint for alcoholic liver disease . Gastroenterology 1977;73:1383-1387. 31. Reynolds ES, Ree HJ: Liver parenchymal cell injury: Membrane denaturation following carbon tetrachloride . Lab Invest 1971;25:269-271. 32. Tandler B: Riboflavin and mouse hepatic cell structure and function . J Cell Biol 1969;41:477-493.Crossref 33. Claude A: Growth and differentiation of cytoplasmic membranes in the course of lipoprotein granule synthesis in the hepatic cell . J Cell Biol 1970;47:745-766.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Short-Gut Syndrome: A New Surgical Technique and Ultrastructural Study of the Liver and Pancreas

Download PDF
7 pages

Loading next page...
 
/lp/american-medical-association/short-gut-syndrome-a-new-surgical-technique-and-ultrastructural-study-ThZedcooBS

References (44)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1982.01380300035009
Publisher site
See Article on Publisher Site

Abstract

Abstract • Massive (85%) resection of the small bowel was performed in 24 dogs to study a new surgical technique. In 12 dogs, two valves were created in the remaining small bowel at the same time, one proximal and the other distal to the anastomosis; the other 12 dogs constituted the control group. Biochemical tests, clinical evolution, and the weight curves show satisfactory results, with high survival, high lipid absorption, and low impairment of the overall condition. The valves can be created at the same time as the resection without any increase in the surgical risk. This new technique shows some possible advantages, and should be used in combination with total parenteral nutrition during the early stages and with basic diets thereafter. Ultrastructural alterations in the liver and pancreas have been studied in both groups. (Arch Surg 1982;117:789-795) References 1. Kremen AJ, Linner JH, Nelson CM: An experimental evolution of the nutritional importance of proximal and distal small intestine . Ann Surg 1954;140:439-448.Crossref 2. Keller JW, Stewart WRC, Westerheide R, et al: Prolonged survival with paired reversal segments after massive intestinal resection . Arch Surg 1965;91:174-179.Crossref 3. Croot HJ: Extensive resection of the small intestine . Br Med J 1952;1:195-199.Crossref 4. Cogswell HD: Massive resection of the small intestine . Ann Surg 1948;127:377-383.Crossref 5. Ballinger WF, Cristh MG, Ashby WB: Autotransplantation of the small intestine: The effect of denervation . Surgery 1962;52:151-158. 6. Garrido H, Lucea C, Ruiperez S, et al: Homotransplant of the small intestine and the graft-versus-host reaction . Eur J Clin Biol Res 1970;15:547-551.Crossref 7. Garrido H, de Diego JA, Clavo Cano M, et al: Homograft of the small intestine : Int Surg 1975;60:351-354. 8. Frederick PL, Craig T: The effect of vagotomy and piloplasty on weight loss and survival of dogs after massive intestinal resection . Surgery 1964;56:135-143. 9. Albo RJ, Angotti D, Sorensen D, et al: Value of selective and truncal vagotomy in massive bowel resection . Am J Surg 1974;128:234-241.Crossref 10. Lagache C, Depadt G, Lehut JM, et al: Les effects de la vagotomie après resection étendues du grêle: Etude experimentale . Acta Gastroenterol Belg 1973;36:140-148. 11. Hucher NE, Salzberg AM: Preileal transposition of colon to prevent the development of short bowel syndrome in puppies with 90 percent small intestinal resection . Surgery 1971;70:189-197. 12. Gerwing WH, Graphery A: Experimental attempt to delay alimentary transit after small bowel exclusion . Arch Surg 1960;87:50-57. 13. Baldwin-Price HK, Capp D, Singleton AD Jr: Reversed intestinal segments in management of ananteric malabsorption syndrome . Ann Surg 1965;161:225-230.Crossref 14. Depadt G, Laurent JC, Bounoville M: Etude experimentale des inversions d'anse grêle (simple et double) après interectomie étendue . Acta Gastroenterol Belg 1973;36:126-139. 15. Honore D, Lejeune G, Biver A, et al: Aspects chirurgicaux des resections étendues de l'intestin grêle . Acta Gastroenterol Belg 1973;36:80-91. 16. Wright HK, Tilson MD: The short gut syndrome . Curr Probl Surg June 1971, pp 3-51. 17. Budding J, Smith CC: Role of recirculating loops in the management of massive resection of the small intestine . Surg Gynecol Obstet 1967;125:243-249. 18. Cuthbertson EM, Gilfillan RS, Burhenne HS, et al: Massive small bowel resection in the beagle including laboratory data in severe undernutrition . Surgery 1970;68:697-705. 19. Burrington JD: Surgery after massive small bowel resection . Am J Surg 1971;121:213-214.Crossref 20. Altman DP, Ellison EH: Massive intestinal resection: Inadequacies of the recirculating loop . Surg Forum 1965;16:365-367. 21. Grier RL, Nelson AW, Lumb WV: Experimental sphincter for short bowel syndrome. 1971;102:203-208. 22. Waddell WR, Kern F Jr, Halgrimson G, et al: A simple jejunocolic valve . Arch Surg 1970;100:438-444.Crossref 23. Shiller WR, Didio JA, Anderson MC: Production of artificial sphincters: Ablation of the longitudinal layer of the intestine . Arch Surg 1967;95:436-441.Crossref 24. Stahlgren LH, Roy RH, Umana G: A mechanical impediment to intestinal flow . JAMA 1964;187:41-44.Crossref 25. Torbey K, Waddel WR: Function of the colon after removal of anal sphincters and replacement by denervated ileal segments . Ann Surg 1961;154:424-431.Crossref 26. Singleton AO Jr, Redmond DC, Murray JE: Ileocecal resection and small bowel transit and absorption . Ann Surg 1964;159:690-691.Crossref 27. Blomer A, Dux A, Lenz H: Myotomic eine chirurgische Methode zur Verlangsammung der dünn Darmpassage: Funktionelle Chirurgie des dünn Darmes . Arch Franc Mal App Dig 1972;5( (suppl 2) : Biologic Gastroenterologie): 6-7, 504c. 28. Perissat J, Masson B, Gouffrant JM, et al: Resection massive de l'intestine grêle: Une technique d'anastomose frenatrice du transit étude experimentale chez le chien . J Chir 1974;108:179-186. 29. Cheville N: Cell Pathology . Ames, Iowa, Iowa State University Press, 1976. 30. Brugera M, Beltran A, Bombi JA, et al: Giant mitochondria in hepatocytes: A diagnosis hint for alcoholic liver disease . Gastroenterology 1977;73:1383-1387. 31. Reynolds ES, Ree HJ: Liver parenchymal cell injury: Membrane denaturation following carbon tetrachloride . Lab Invest 1971;25:269-271. 32. Tandler B: Riboflavin and mouse hepatic cell structure and function . J Cell Biol 1969;41:477-493.Crossref 33. Claude A: Growth and differentiation of cytoplasmic membranes in the course of lipoprotein granule synthesis in the hepatic cell . J Cell Biol 1970;47:745-766.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Jun 1, 1982

There are no references for this article.