title: [Massive small bowel resection. Apropos of 27 cases].
abstract: 27 patients were admitted in the Digestive intensive care unit of Croix-Rousse Hospital after a massive bowel resection (residual bowel 120 cm). The etiology was of vascular origin in 15 cases. The length of intestine was nil in 4 cases, between 20 and 50 cm in 12 cases, and between 50 and 120 cm in 11 cases. A colon resection was performed in 20 cases. For 5 patients, a "double temporary intestinal stoma" for ischemic bowel was made. A "second look laparotomy" was performed in 11 cases. The definitive intestinal continuity restauration was made in 23 cases (7 immediately, 16 later) with 3 duodenocolic anastomoses. 8 patients were able to find back a oral alimentation. 19 patients (with 4 total bowel resections) received a home parenteral nutrition. Actually, 11 are alive.
authors.affiliation: Service de Réanimation médicale, hôpital de la Croix-Rousse, Lyon.
authors.forename: G
authors.initials: G
authors.lastname: Boncompain
authors.forename: J
authors.initials: J
authors.lastname: Baulieux
authors.forename: J
authors.initials: J
authors.lastname: Neidhardt
authors.forename: J L
authors.initials: JL
authors.lastname: Caillot
authors.forename: J L
authors.initials: JL
authors.lastname: Peix
authors.forename: F
authors.initials: F
authors.lastname: Salord
authors.forename: B
authors.initials: B
authors.lastname: Langevin
authors.forename: P
authors.initials: P
authors.lastname: Gaussorgues
authors.forename: M
authors.initials: M
authors.lastname: Sirodot
authors.forename: L
authors.initials: L
authors.lastname: Descos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004630:Emergencies; D004761:Enterocolitis, Pseudomembranous / Q000150:complications* / Q000601:surgery; D004766:Enterostomy; D005260:Female; D006801:Humans; D007238:Infarction / Q000150:complications* / Q000601:surgery; D007410:Intestinal Diseases / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000379:methods*; D012086:Reoperation; D012778:Short Bowel Syndrome / Q000150:complications
vernacular_title: Entérectomies massives. A propos de 27 observations.