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The problems of massive small bowel resection and difficulties encountered in management

The problems of massive small bowel resection and difficulties encountered in management SummaryMassive small bowel resection is imperative in the management of several pathological conditions and is accompanied by high operative mortality. In those that survive, serious nutritional disturbances are inevitable. Intestinal adaptation is said to occur but cannot be relied upon. Long-term parenteral nutrition is problematical and often unsuccessful. Many surgical procedures have been adopted in an effort to improve prognosis and have been found wanting. Controlled experimental studies in the use of reversed segments and a limited number of reported clinical cases using the method after massive resection suggest that this technique may improve the function of the residual intestine to such an extent that other supportive measures are unnecessary. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Postgraduate Medical Journal Oxford University Press

The problems of massive small bowel resection and difficulties encountered in management

Postgraduate Medical Journal , Volume 54 (631): 5 – May 1, 1978

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References (80)

Copyright
© 1978 The Fellowship of Postgraduate Medicine
ISSN
0032-5473
eISSN
1469-0756
DOI
10.1136/pgmj.54.631.323
Publisher site
See Article on Publisher Site

Abstract

SummaryMassive small bowel resection is imperative in the management of several pathological conditions and is accompanied by high operative mortality. In those that survive, serious nutritional disturbances are inevitable. Intestinal adaptation is said to occur but cannot be relied upon. Long-term parenteral nutrition is problematical and often unsuccessful. Many surgical procedures have been adopted in an effort to improve prognosis and have been found wanting. Controlled experimental studies in the use of reversed segments and a limited number of reported clinical cases using the method after massive resection suggest that this technique may improve the function of the residual intestine to such an extent that other supportive measures are unnecessary.

Journal

Postgraduate Medical JournalOxford University Press

Published: May 1, 1978

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