Enteroplastía transversa seriada como alternativa en el tratamiento del síndrome de intestino corto: Caso clínico

• FELIPE BELLOLIO R ^[1] ; JULIETA KLAASSEN L ^[1] ; DAHIANA PULGAR B ^[1] ; Mª ELENA MOLINA P ^[1] ; GEORGE PINEDO M ^[1] ; ALVARO ZÚÑIGA D ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 4, 2010, págs. 478-482
• Idioma: español
• Títulos paralelos:
  • Serial transverse enteroplasty for short bowel syndrome: Case report
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• Resumen

  • Among patients with short bowel syndrome, surgical small intestine lengthening techniques are employed to increase the absorptive surface. Among these, serial transverse enteroplasty involves transecting the bowel transversally, preserving the blood supply of the small intestine and creating a longer segment of bowel. We report a 51-year-old woman with a short bowel syndrome and multiple hospital admissions for complications. She was subjected to a serial transverse enteroplasty, increasing small intestinal length from 140 to 180 cm. During the postoperative period, she presented intra abdominal blood collections and a septic episode with bacterial endocarditis. One month after the operation, total parenteral nutrition was discontinued and nutritional and fuid balances were achieved using exclusively the oral route. During the ambulatory follow up, the patient continues with exclusive oral feeding and fve bowel movements per day.