Challenges of elderly patients with short bowel syndrome

Main Article Content

Yasser Abbas Anis Hassan
Maryam Said Rashid Al-Hashmi
Salma Amur Al-Khanjari

Abstract

Objective: This is a case report presenting two elderly patients; one with mesenteric ischemia and the second with gallstone ileus, in which their operative management has resulted in short bowel syndrome (SBS).


Case: This pathology required prolonged post-operative care and monitoring with the management of different related complications.


Conclusion: This case report will cover the pathophysiology, medical and operative management in addition to the acute and chronic complications of SBS

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How to Cite
Hassan, Y. A. A. ., Al-Hashmi, M. S. R. ., & Al-Khanjari, S. A. (2022). Challenges of elderly patients with short bowel syndrome. Medical Science and Discovery, 9(1), 66–75. https://doi.org/10.36472/msd.v9i1.635
Section
Case Reports
Received 2021-11-26
Accepted 2021-12-16
Published 2022-01-09

References

Carbonnel F, Cosnes J, Chevret S, Beaugerie L, Ngô Y, Malafosse M, et al. The role of anatomic factors in nutritional autonomy after extensive small bowel resection. JPEN J 1996;20:275-80. DOI: https://doi.org/10.1177/0148607196020004275

Buchman AL, Scolapio J, Fryer J. AGA technical review on short bowel syndrome and intestinal transplantation. Gastroenterology 2003; 124:1111.

Jeong SH, Lee HJ, Bae HJ, et al. Factors affecting postoperative dietary adaptation in short bowel syndrome. Hepatogastroenterology 2009; 56:1049.

Longshore SW, Wakeman D, McMellen M, Warner BW. Bowel resection induced intestinal adaptation: progress from bench to bedside. Minerva Pediatr 2009; 61:239.

Thompson JS, Quigley EM, Adrian TE. Factors affecting outcome following proximal and distal intestinal resection in the dog: an examination of the relative roles of mucosal adaptation, motility, luminal factors, and enteric peptides. Dig Dis Sci 1999; 44:63. DOI: https://doi.org/10.1023/A:1026697915937

Buchman AL, Scolapio J, Fryer J. AGA technical review on short bowel syndrome and intestinal transplantation. Gastroenterology 2003; 124:1111. DOI: https://doi.org/10.1016/S0016-5085(03)70064-X

Williams NS, Evans P, King RF. Gastric acid secretion and gastrin production in the short bowel syndrome. Gut 1985; 26:914. DOI: https://doi.org/10.1136/gut.26.9.914

McDuffie LA, Bucher BT, Erwin CR, et al. Intestinal adaptation after small bowel resection in human infants. J Pediatr Surg 2011; 46:1045. DOI: https://doi.org/10.1016/j.jpedsurg.2011.03.027

Schmidt T, Pfeiffer A, Hackelsberger N, et al. Effect of intestinal resection on human small bowel motility. Gut 1996; 38:859. DOI: https://doi.org/10.1136/gut.38.6.859

Debongnie JC, Phillips SF. Capacity of the human colon to absorb fluid. Gastroenterology 1978; 74:698. DOI: https://doi.org/10.1016/0016-5085(78)90246-9

Healey KL, Bines JE, Thomas SL, et al. Morphological and functional changes in the colon after massive small bowel resection. J Pediatr Surg 2010; 45:1581. DOI: https://doi.org/10.1016/j.jpedsurg.2010.02.040

DiBaise JK, Young RJ, Vanderhoof JA. Intestinal rehabilitation and the short bowel syndrome: part 1. Am J Gastroenterol 2004; 99:1386. DOI: https://doi.org/10.1111/j.1572-0241.2004.30345.x

Kaufman SS, Loseke CA, Lupo JV, et al. Influence of bacterial overgrowth and intestinal inflammation on duration of parenteral nutrition in children with short bowel syndrome. J Pediatr 1997; 131:356. DOI: https://doi.org/10.1016/S0022-3476(97)80058-3

Joly F, Dray X, Corcos O, et al. Tube feeding improves intestinal absorption in short bowel syndrome patients. Gastroenterology 2009; 136:824. DOI: https://doi.org/10.1053/j.gastro.2008.10.084

Ladefoged K, Christensen KC, Hegnhøj J, Jarnum S. Effect of a long acting somatostatin analogue SMS 201-995 on jejunostomy effluents in patients with severe short bowel syndrome. Gut 1989; 30:943. DOI: https://doi.org/10.1136/gut.30.7.943

Nehra V, Camilleri M, Burton D, et al. An open trial of octreotide long-acting release in the management of short bowel syndrome. Am J Gastroenterol 2001; 96:1494. DOI: https://doi.org/10.1111/j.1572-0241.2001.03803.x

O'Keefe SJ, Haymond MW, Bennet WM, et al. Long-acting somatostatin analogue therapy and protein metabolism in patients with jejunostomies. Gastroenterology 1994; 107:379. DOI: https://doi.org/10.1016/0016-5085(94)90162-7

DiBaise JK, Matarese LE, Messing B, Steiger E. Strategies for parenteral nutrition weaning in adult patients with short bowel syndrome. J Clin Gastroenterol 2006; 40 Suppl 2:S94. DOI: https://doi.org/10.1097/01.mcg.0000212679.14172.33

Sudan D. Advances in the nontransplant medical and surgical management of intestinal failure. Curr Opin Organ Transplant 2009; 14:274. DOI: https://doi.org/10.1097/MOT.0b013e32832b1033

Thompson JS, Sudan DA, Gilroy R. Predicting outcome of procedures to slow intestinal transit. Transplant Proc 2006; 38:1838. DOI: https://doi.org/10.1016/j.transproceed.2006.05.007

Thompson J, Sudan D. Intestinal lengthening for short bowel syndrome. Adv Surg 2008; 42:49. DOI: https://doi.org/10.1016/j.yasu.2008.03.009

The concept of gut rehabilitation and the future of visceral transplantation. Author: Kareem Abu-Elmagd. Feb. 2015. Gale Onefile health and medicine.

Jeppesen PB, Hartmann B, Thulesen J, et al. Glucagon-like peptide 2 improves nutrient absorption and nutritional status in short-bowel patients with no colon. Gastroenterology 2001; 120:806. DOI: https://doi.org/10.1053/gast.2001.22555

O'Grady NP, Alexander M, Dellinger EP, et al. Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep 2002; 51:1.

Maki DG, Ringer M. Risk factors for infusion-related phlebitis with small peripheral venous catheters. A randomized controlled trial. Ann Intern Med 1991; 114:845. DOI: https://doi.org/10.7326/0003-4819-114-10-845

O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011; 52:e162. DOI: https://doi.org/10.1093/cid/cir257