静脈栄養のサポートを不要とする短腸症候群の1成人例

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We report a case of survival in the absence of intravenous nutritional support in an adult patient with short bowel syndrome, despite the very short length of the small and large intestine. Short bowel syndrome is defined as malabsorption resulting from anatomical or functional loss of the small intestine. The case is a-59-year- old woman who underwent resection of nearly her entire large intestine in response to Gardner Syndrome (familial polyposis) about 34 years previously at another hospital. About 30 years ago, at our hospital, she underwent a massive intestinal resection because of a mesenteric tumor. About 10 years ago, at our hospital, she underwent residual rectum about 12cm due to rectal cancer. The length of her residual small intestine and large intestine was ultimately 50cm length and 13cm length, respectively. From our experience, we emphasize that there are some cases of short bowel patients who do not require intravenous nutritional support and who can maintain themselves on enteral feedings.
2010-08-13