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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Main Author: Koma Akim
Format: Article
Language:English
Published: Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) 2019-08-01
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.
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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
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