More on 'No Gut Syndrome': A case report

Varun Jain, Sergio Huerta

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)35-37
Number of pages3
JournalInternational Journal of Surgery Case Reports
StatePublished - 2016


  • Extensive bowel necrosis
  • Near total enterectomy
  • Severe mesenteric ischemia
  • Short bowel syndrome
  • Total parenteral nutrition

ASJC Scopus subject areas

  • Surgery


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