Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan
The length of the small intestine ranges between 3m-10m with an average of 6.5m [1]. It is made up of the duodenum (25cm), jejunum (1.5m), and ileum (distal three fifths). Resection of up to a third or even half is compatible with a normal life. However, survival has been reported with a small bowe...
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Format: | Article |
Language: | English |
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Health and Social Sciences Research Institute - South Sudan (HSSRI-SS)
2019-08-01
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Series: | South Sudan Medical Journal |
Online Access: | https://bit.ly/3kXuwcv |
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author | Koma Akim |
author_facet | Koma Akim |
author_sort | Koma Akim |
collection | DOAJ |
description | The length of the small intestine ranges between 3m-10m with an average of 6.5m [1]. It is made up of the duodenum (25cm), jejunum (1.5m), and ileum (distal three fifths). Resection of up to a third or even half is compatible with a normal life. However, survival has been reported with a small bowel length of only 45 cm. A major resection leads to the small gut syndrome of malabsorption of macro and micronutrients. The classical symptoms are diarrhoea and those arising from malabsorption. Long term survival is enhanced with the use of parenteral nutrition[4] but there are no publications of survival without parenteral nutrition. |
first_indexed | 2024-04-11T02:28:42Z |
format | Article |
id | doaj.art-0347a8800bcf422fbd42448e2f3a4f26 |
institution | Directory Open Access Journal |
issn | 2309-4605 2309-4613 |
language | English |
last_indexed | 2024-04-11T02:28:42Z |
publishDate | 2019-08-01 |
publisher | Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) |
record_format | Article |
series | South Sudan Medical Journal |
spelling | doaj.art-0347a8800bcf422fbd42448e2f3a4f262023-01-02T21:51:38ZengHealth and Social Sciences Research Institute - South Sudan (HSSRI-SS)South Sudan Medical Journal2309-46052309-46132019-08-01123112114Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South SudanKoma Akim0General Surgeon/Health Coordinator, St. Theresa Mission Hospital, Isohe, Caritas Torit, Torit State, South SudanThe length of the small intestine ranges between 3m-10m with an average of 6.5m [1]. It is made up of the duodenum (25cm), jejunum (1.5m), and ileum (distal three fifths). Resection of up to a third or even half is compatible with a normal life. However, survival has been reported with a small bowel length of only 45 cm. A major resection leads to the small gut syndrome of malabsorption of macro and micronutrients. The classical symptoms are diarrhoea and those arising from malabsorption. Long term survival is enhanced with the use of parenteral nutrition[4] but there are no publications of survival without parenteral nutrition.https://bit.ly/3kXuwcv |
spellingShingle | Koma Akim Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan South Sudan Medical Journal |
title | Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan |
title_full | Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan |
title_fullStr | Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan |
title_full_unstemmed | Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan |
title_short | Case Report: Ultra-Short Bowel Syndrome after a near-total small bowel resection for gangrene due to volvulus in a district hospital in South Sudan |
title_sort | case report ultra short bowel syndrome after a near total small bowel resection for gangrene due to volvulus in a district hospital in south sudan |
url | https://bit.ly/3kXuwcv |
work_keys_str_mv | AT komaakim casereportultrashortbowelsyndromeafteraneartotalsmallbowelresectionforgangreneduetovolvulusinadistricthospitalinsouthsudan |