[Massive small bowel resection. Apropos of 27 cases].
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.
Boncompain
G
G
Service de Réanimation médicale, hôpital de la Croix-Rousse, Lyon.
Baulieux
J
J
Neidhardt
J
J
Caillot
J L
JL
Peix
J L
JL
Salord
F
F
Langevin
B
B
Gaussorgues
P
P
Sirodot
M
M
Descos
L
L
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
Entérectomies massives. A propos de 27 observations.