[Short bowel syndrome. Still a current problem].
In the last year the Authors operated two patients presenting with a clinical feature of intestinal infarct. A wide intestinal resection was performed and patients had a residual tract of 40 cm and 50 cm of bowel respectively, later manifesting as short bowel syndrome. It was not possible during the operation to preserve the Baubin valve in one case, in the other one the value had been sacrificed during a previous operation for right colonic malignancy. In the postoperative period, patients were temporarily transferred to the intensive care unit, returning in the surgery ward after few days, and counting total parenteral nutrition with progressive decreasing mixture in calories. Contemporarly enteral nutrition was started slowly increasing the quantity of water, calories and azote administration. In a second time oral diet was started up to completely weaning parenteral and enteral nutrition. At the present patients are enlisted in quarterly follow-up, completely stabilized, and independent from artificial nutrition with a good quality of life. Furthermore a saving of sanitary costs was obtained.
Calomino
N
N
Policlinico Le Scotte, Istituto di Clinica Chirurgica e Terapia Chirurgica, Università degli Studi di Siena.
Malerba
M
M
Oliva
G
G
Palasciano
G
G
Cappelli
A
A
Salvestrini
F
F
Tanzini
G
G
D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D006801:Humans; D007422:Intestines / Q000098:blood supply; D007511:Ischemia; D008297:Male; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D012778:Short Bowel Syndrome / Q000209:etiology*