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Severe short bowel syndrome with a surgically reversed small bowel segment

Digestive Diseases and Sciences volume 35, pages 137–144 (1990)Cite this article

Summary

We report a case of short bowel syndrome (60 cm of jejunum anastomosed to the left colon) with reversal of the distal 15 cm of jejunum in a 21-year-old man. The nutritional absorptive capacity and digestive motility was studied for 18 months postoperatively. His absorptive capacity reached subnormal values allowing him oral nutritive autonomy and normal social life. The results of the manometric study suggested that the reversed segment delayed intestinal transit time. The prolonged contact of the chyme with the intestinal absorptive mucosa possibly increased its absorptive capacity.

Our data and the literature reports suggest that reversal of a bowel loop could help wean patients from their dependence on parenteral nutrition.

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Affiliations

  1. Gastroenterology Unit and INSERM U.290, Hôpital St. Lazare, 107bis, rue du Faubourg Saint-Denis, 75010, Paris, France

    François Pigot, Bernard Messing, Stanislas Chaussade, Albrecht Pfeiffer, Xavier Pouliquen & Raymond Jian

  2. Surgical Unit, Hôpital Victor Dupouiy, 2, rue Saint-Vincent-de-Paul, 95107, Argenteuil Cedex, France

    François Pigot, Bernard Messing, Stanislas Chaussade, Albrecht Pfeiffer, Xavier Pouliquen & Raymond Jian

Authors
  1. François Pigot
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  2. Bernard Messing
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  3. Stanislas Chaussade
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  4. Albrecht Pfeiffer
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  5. Xavier Pouliquen
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  6. Raymond Jian
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Pigot, F., Messing, B., Chaussade, S. et al. Severe short bowel syndrome with a surgically reversed small bowel segment. Digest Dis Sci 35, 137–144 (1990). https://doi.org/10.1007/BF01537235

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  • DOI: https://doi.org/10.1007/BF01537235

Key words

  • short bowel
  • reversed segment
  • manometry
  • absorption