TY - JOUR
T1 - More on 'No Gut Syndrome'
T2 - A case report
AU - Jain, Varun
AU - Huerta, Sergio
N1 - Publisher Copyright:
© Published by Elsevier Ltd.
PY - 2016
Y1 - 2016
N2 - Introduction No Gut Syndrome refers to a condition which results after a near total enterectomy (NTE) has been performed. These patients are unable to sustain life without life-long parenteral nutrition (PN). Re-establishment of bowel continuity, complications, quality of life (QoL), and overall outcomes are important aspects to be considered in patients who might need a NTE. We have previously reported two similar cases as well as a literature review in patients with No Gut Syndrome. In the present report, we present an additional case and an update of the literature. Presentation of the case A 62-year old man with multiple co-morbidities presented with features of acute small bowel obstruction. Exploratory laparotomy revealed severe mesenteric ischemia and extensive small bowel necrosis. Patient eventually underwent a NTE and was discharged on parenteral nutrition. Discussion Near total enterectomy (NTE) is a clinical condition in which a patient is left without or with minimal length of small bowel along with either gastrointestinal continuity or exteriorization of the proximal end. This condition has remained a dilemma for surgeons worldwide chiefly as a result of its perceived incompatibility with life. There are only a few available options for proceeding with treatment, however maintenance on long term parenteral nutrition has shown promising results. Conclusion Long term parenteral nutrition serves as a viable treatment option for managing patients after a NTE.
AB - Introduction No Gut Syndrome refers to a condition which results after a near total enterectomy (NTE) has been performed. These patients are unable to sustain life without life-long parenteral nutrition (PN). Re-establishment of bowel continuity, complications, quality of life (QoL), and overall outcomes are important aspects to be considered in patients who might need a NTE. We have previously reported two similar cases as well as a literature review in patients with No Gut Syndrome. In the present report, we present an additional case and an update of the literature. Presentation of the case A 62-year old man with multiple co-morbidities presented with features of acute small bowel obstruction. Exploratory laparotomy revealed severe mesenteric ischemia and extensive small bowel necrosis. Patient eventually underwent a NTE and was discharged on parenteral nutrition. Discussion Near total enterectomy (NTE) is a clinical condition in which a patient is left without or with minimal length of small bowel along with either gastrointestinal continuity or exteriorization of the proximal end. This condition has remained a dilemma for surgeons worldwide chiefly as a result of its perceived incompatibility with life. There are only a few available options for proceeding with treatment, however maintenance on long term parenteral nutrition has shown promising results. Conclusion Long term parenteral nutrition serves as a viable treatment option for managing patients after a NTE.
KW - Extensive bowel necrosis
KW - Near total enterectomy
KW - Severe mesenteric ischemia
KW - Short bowel syndrome
KW - Total parenteral nutrition
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U2 - 10.1016/j.ijscr.2015.12.014
DO - 10.1016/j.ijscr.2015.12.014
M3 - Article
C2 - 26708947
AN - SCOPUS:84950290890
SN - 2210-2612
VL - 19
SP - 35
EP - 37
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -