Multiple colonic anastomoses in the surgical treatment of short bowel syndrome. A new technique

Felipe Robledo-Ogazón; Guillermo Becerril-Martínez; Víctor Hernández-Saldaña; María Luisa Zavala-Aznar; Luis Bojalil-Durán

2008, Number 1

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Cir Cir 2008; 76 (1)

Multiple colonic anastomoses in the surgical treatment of short bowel syndrome. A new technique

Robledo-Ogazón F, Becerril-Martínez G, Hernández-Saldaña V, Zavala-Aznar ML, Bojalil-Durán L

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Language: Spanish
References: 26
Page: 43-47
PDF size: 116.80 Kb.

ABSTRACT

Background: Some surgical pathologies eventually require intestinal resection. This may lead to an extended procedure such as leaving 30 cm of proximal jejunum and left and sigmoid colon. One of the most important consequences of this type of resection is “intestinal failure” or short bowel syndrome. This complex syndrome leads to different metabolic and water and acid/base imbalances, as well as nutritional and immunological issues along with the problem accompanying an abdomen subjected to many surgical procedures and high mortality. Many surgical techniques have been developed to improve the patient’s quality of life.
Methods: We designed a non-transplant surgical approach and performed the procedure on two patients with postoperative short bowel syndrome with ‹40 cm of proximal jejunum and left colon.
Results: There are a variety of non-transplant surgical procedures that, due to their complex technique or high mortality rate, have not resolved this important problem. However, the technique we present in this work can be performed by a large number of surgeons. The procedure has a low morbimortality rate and offers the chance for better control of metabolic and acid/base balance, intestinal transit and proper nutrition.

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