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Nutritional support process for a patient with short bowel syndrome in conjunction with panperitonitis: a case report

Authors
 Sun Jung Kim  ;  Bo Ram Kim  ;  Song Mi Lee  ;  Hee Jung Kong  ;  Cheung Soo Shin 
Citation
 Clinical Nutrition Research, Vol.2(2) : 149-153, 2013-07 
Journal Title
 Clinical Nutrition Research 
ISSN
 2287-3732 
Issue Date
2013-07
Keywords
Enteral nutrition ; Nutritional support ; Parenteral nutrition ; Short bowel syndrome
Abstract
Short Bowel Syndrome (SBS) is a condition that causes malabsorption and nutrient deficiency because a large section of the small intestine is missing or has been surgically removed. SBS may develop congenitally or from gastroenterectomy, which often change the motility, digestive, and/or absorptive functions of the small bowel. The surgical procedure for SBS and the condition itself have high mortality rates and often lead to a range of complications associated with long-term parenteral nutrition (PN). Therefore, careful management and appropriate nutrition intervention are needed to prevent complications and to help maintain the physiologic integrity of the remaining intestinal functions. Initial postoperative care should provide adequate hydration, electrolyte support and total parenteral nutrition (TPN) to prevent fatal dehydration. Simultaneously, enteral nutrition should be gradually introduced, with the final goal of using only enteral nutrition support and/or oral intake and eliminating TPN from the diet. A patient should be considered for discharge when macro and micronutrients can be adequately supplied through enteral nutrition support or oral diet. Currently, there is more research on pediatric patients with SBS than on adult patient population. A 35-year-old man with no notable medical history was hospitalized and underwent a surgery for acute appendicitis at a local hospital. He was re-operated on the 8th day after the initial surgery due to complications and was under observation when he suddenly complained of severe abdominal pain and high fever. He was immediately transferred to a tertiary hospital where the medical team discovered free air in the abdomen. He was subsequently diagnosed with panperitonitis and underwent an emergency reoperation to explore the abdomen. Although the patient was expected to be at a high risk of malnutrition due to short bowel syndrome resulting from multiple surgeries, through intensive care under close cooperation between the medical and nutrition support team, his nutritional status improved significantly through continuous central and peripheral parenteral nutrition, enteral nutrition, and oral intake. The purpose of this paper is to report the process of the patient's recovery.
Files in This Item:
T201306417.pdf Download
DOI
10.7762/cnr.2013.2.2.149
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kong, Hee Jung(공희정)
Shin, Cheung Soo(신증수) ORCID logo https://orcid.org/0000-0001-7829-8458
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178453
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