title: [Application of small intestine double stoma and succus entericus reinfusion in the patients with severe intra-abdominal infection].
abstract: OBJECTIVE
  To evaluate the application of small intestine double stoma and succus entericus reinfusion in the patients with severe intra-abdominal infection.
  
  
  METHODS
  Ten patients with high intestinal perforation from February 2005 to November 2014 were enrolled in the study. All the cases received emergency operation. Small bowel with intestinal perforation was resected, and double stoma was applied in the proximal and distal small intestine. When abdominal infection under control, total enteral nutrition was successfully administered from nasogastric tube. The succus entericus from the proximal intestine was collected and transfused back to the distal intestine. Stool was collected and fecal nitrogen, fat and carbohydrate contents were determined. Related serum protein levels were measured.
  
  
  RESULTS
  As compared to pre-reinfusion, the absorption rate of carbohydrate [(90.9±7.8)% vs. (82.7±15.2)%], fat [(87.6±6.4)% vs. (59.1±10.8)%], and nitrogen [(82.4±9.8)% vs. (67.2±15.4)%] increased after succus entericus reinfusion (P<0.05). The serum protein levels increased significantly as well[fibronectin: (285.6±3.6) vs. (157.0±22.6) mg/L, P<0.01; transferrin: (4.86±0.21) vs. (3.60±0.25) g/L, P<0.05; pre-albumin: (291.3±112.5) vs. (199.1±53.3) mg/L, P<0.05].
  
  
  CONCLUSIONS
  Small intestine double stoma and succus entericus reinfusion are effective in improving the absorption of carbohydrate, fat and nitrogen in the patients with severe intra-abdominal infection.
authors.affiliation: Department of Gastrointestinal Surgery, The Second People's Hospital of Huai'an, Jiangshu Huai'an 223300, China. zhu_jingguo@163.com.
authors.forename: Jinguo
authors.initials: J
authors.lastname: Zhu
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
authors.forename: Yuan
authors.initials: Y
authors.lastname: He
authors.forename: Haiwen
authors.initials: H
authors.lastname: Zhuang
authors.forename: Jinyun
authors.initials: J
authors.lastname: Yang
mesh_terms: D004750:Enteral Nutrition; D006801:Humans; D007416:Intestinal Perforation; D007419:Intestinal Secretions; D007421:Intestine, Small; D059413:Intraabdominal Infections; D054047:Surgical Stomas