Ultrashort bowel syndrome: surgical management and long-term results of an exceptional case.
Management of the short bowel syndrome is a multidisciplinary and very complex problem. The authors report the successful long-term results of an original combination of autologous gastrointestinal reconstruction in a boy who at the age of 16 years lost all but 5 cm of the small bowel. This case demonstrates that lengthening and antipropulsive interposition of a long segment of the colon can be another alternative to early transplantation in exceptional cases.
Devesa
José Manuel
JM
Department of General Surgery, University Hospital Ramón y Cajal, Area Sanitaria 4, 28034 Madrid, Spain. colonrecto@ruberinternacional.es
Botella-Carretero
José I
JI
López Hervás
Pedro
P
Rey
Antonio
A
Die
Javier
J
Calero
Alicia
A
D000007:Abdominal Injuries / Q000150:complications*; D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007408:Intestinal Absorption; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D010528:Peristalsis / Q000502:physiology; D035583:Rare Diseases; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D012778:Short Bowel Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome