Improvement in the quality of life using both Bianchi's procedure and the closure of a jejunostomy in a case with short bowel syndrome.
In cases with short bowel syndrome (SBS), intestinal adaptation often requires a long time. In addition, the quality of life in SBS is not especially good due to some complications, including growth impairment, severe diarrhea, complications of parenteral nutrition (PN), and so on. We herein report an adolescent boy with SBS secondary to midgut volvulus. He suffered mainly from both severe high output syndrome, which caused a large amount of enteric fluid to flow out from the jejunostomy, and growth impairment, although PN continued after the occurrence of SBS. As a result, he thereafter could not continue his daily school life. Therefore, he was introduced to our department at 6 months after the operation. A closure of the jejunostomy combined with longitudinal intestinal lengthening using Bianchi's procedure was performed. Thereafter, the above-described symptoms disappeared. He was discharged and thereafter was again able to attend school with an improvement in his growth within 2 months after the second operation. Home PN was discontinued at 15 months after the second operation. Based on our experience, in cases of SBS without intestinal functional disorder, an early closure of the jejunostomy combined with Bianchi's procedure might therefore possibly lead to an early improvement in the complications related to SBS.
Masumoto
Kouji
K
Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. kmasu@pedsurg.med.kyushu-u.ac.jp
Souzaki
Ryouta
R
Nagata
Kouji
K
Uesugi
Toru
T
Nishimoto
Yuko
Y
Taguchi
Tomoaki
T
D000293:Adolescent; D013505:Digestive System Surgical Procedures; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects*; D008297:Male; D009752:Nutritional Status; D016331:Parenteral Nutrition, Home; D011788:Quality of Life; D012086:Reoperation; D012778:Short Bowel Syndrome / Q000601:surgery*