[Short bowel syndrome].
In the last year at the Department of Surgery of the University of Siena two patients presenting a clinical feature of intestinal infarct have been operated. In these patients a wide intestinal resection has been performed. After this surgical operation, a patient had a residual tract of 40 cm of bowel and the other 50 cm. It was not possible during operation to preserve the Bauin valve in a case; in the other, this valve has been sacrificed during a previous operation for cecal neoplasm. In the postoperative period, patients were transferred temporarily in the intensive care unit, and after some days they returned to the department where total parenteral nutrition with progressive decreasing mixture in calories over time was administered. Enteral nutrition was also started and the quantity of water, calories and azote was slavly increased. In a second time an oral diet was started up to completely weaning from parenteral and then enteral nutrition. At present, these patients are enlisted in quarterly follow-up and are completely stabilized. They are independent from artificial nutrition and they have a good quality of life.
Calomino
N
N
Policlinico Le Scotte, Università degli Studi, Siena.
Malerba
M
M
Oliva
G
G
Palasciano
G
G
Salvestrini
F
F
D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition; D006801:Humans; D010288:Parenteral Nutrition; D012778:Short Bowel Syndrome / Q000503:physiopathology / Q000628:therapy