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Title

Parenteral nutrition independence in a patient left with 25 cm of ileum and jejunum: a case report

Authors
Nardo, Patrizia
Published in Obesity Surgery. 2010, vol. 20, no. 5, p. 666-671
Abstract A 44-year-old woman with a history of Roux-en-Y gastric bypass (RYGBP) suffered small bowel volvulus. She was left post-operatively with an intact duodenum, 25 cm of jejunum and ileum, and a colon in continuity, a situation synonymous to short bowel syndrome. This report describes her surgical, medical and nutritional follow-up until complete weaning of parenteral nutrition despite of her very short remnant small bowel and persistently low citrullinemia. The discussion aims at demonstrating the rarity of these complications after RYGBP according to the literature. Furthermore, it challenges the validity of the present markers of parenteral nutrition independence (remnant small bowel length, citrullinemia) in case of short bowel syndrome.
Keywords AdultCitrullinemia/*etiology/therapyFemaleGastric Bypass/*adverse effects/methodsHumansIleum/*surgeryIntestinal VolvulusJejunum/*surgeryParenteral Nutrition/*methodsShort Bowel Syndrome/*complicationsTreatment Outcome
Identifiers
PMID: 20186575
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Research group Nutrition clinique (597)
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GENTON GRAF, Laurence et al. Parenteral nutrition independence in a patient left with 25 cm of ileum and jejunum: a case report. In: Obesity Surgery, 2010, vol. 20, n° 5, p. 666-671. https://archive-ouverte.unige.ch/unige:20683

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Deposited on : 2012-05-23

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