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: South Sudan Doctors' Association 2019-08-01
Series:South Sudan Medical Journal
Online Access:https://bit.ly/3kXuwcv
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spelling doaj-0347a8800bcf422fbd42448e2f3a4f262020-11-25T03:26:26ZengSouth Sudan Doctors' AssociationSouth Sudan Medical Journal 2309-46052309-46132019-08-01123112114Case 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
collection DOAJ
language English
format Article
sources DOAJ
author Koma Akim
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
author_facet Koma Akim
author_sort Koma Akim
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_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_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_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
publisher South Sudan Doctors' Association
series South Sudan Medical Journal
issn 2309-4605
2309-4613
publishDate 2019-08-01
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.
url https://bit.ly/3kXuwcv
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