Treatment and metabolic findings in extreme short-bowel syndrome with 11 cm jejunal remnant.
A full term girl survived nonresected, subtotal small-bowel gangrene. The length of the small-bowel remnant (only jejunum) measured 11 cm. Anastomosis was performed with insertion of a 3-cm-long antiperistaltic segment. The ileocecal valve remained intact. The jejunal remnant showed an increase in length of at least 1 m. The resorptive functions of the bowel residue recovered incompletely, particularly the ileal functions. Disturbances of calcium and phosphorus metabolism are now in the foreground; nevertheless, the child now manages to live without parenteral feeding.
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000178:diet therapy / Q000378:metabolism* / Q000601:surgery; D007583:Jejunum / Q000254:growth & development / Q000378:metabolism; D008286:Malabsorption Syndromes / Q000378:metabolism*; D012778:Short Bowel Syndrome / Q000178:diet therapy / Q000378:metabolism* / Q000601:surgery