Enteroplastía transversa seriada como alternativa en el tratamiento del síndrome de intestino corto: Caso clínico

Bellolio R., Felipe; KLAASSEN L, JULIETA; Pulgar B, Dahiana; MOLINA P, Mª ELENA; PINEDO M, GEORGE; Zúñiga D, Álvaro

Keywords: parenteral nutrition, enteroplasty, short bowel syndrome

Abstract

Among patients with short bowel syndrome, surgical small intestine lengthening techniques are employed to increase the absorptive surface. Among these, serial transverse enteroplasty involves transecting the bowel transversally, preserving the blood supply of the small intestine and creating a longer segment of bowel. We report a 51-year-old woman with a short bowel syndrome and multiple hospital admissions for complications. She was subjected to a serial transverse enteroplasty, increasing small intestinal length from 140 to 180 cm. During the postoperative period, she presented intra abdominal blood collections and a septic episode with bacterial endocarditis. One month after the operation, total parenteral nutrition was discontinued and nutritional and fuid balances were achieved using exclusively the oral route. During the ambulatory follow up, the patient continues with exclusive oral feeding and fve bowel movements per day.

Más información

Título según SCIELO: Enteroplastía transversa seriada como alternativa en el tratamiento del síndrome de intestino corto: Caso clínico
Título de la Revista: REVISTA MEDICA DE CHILE
Volumen: 138
Número: 4
Editorial: SOC MEDICA SANTIAGO
Fecha de publicación: 2010
Página de inicio: 478
Página final: 482
Idioma: es
URL: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000400013&lng=en&nrm=iso&tlng=en
DOI:

10.4067/S0034-98872010000400013

Notas: SCIELO