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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1007/s00345-012-0906-1

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1437-9813

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Improvement in the quality of life using both Bian

Authors: Kouji Masumoto Ryouta Souzaki Kouji Nagata Toru Uesugi Yuko Nishimoto Tomoaki Taguchi
Publish Date: 2006/09/22
Volume: 23, Issue: 3, Pages: 285-288
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Abstract

In cases with short bowel syndrome SBS intestinal adaptation often requires a long time In addition the quality of life in SBS is not especially good due to some complications including growth impairment severe diarrhea complications of parenteral nutrition PN and so on We herein report an adolescent boy with SBS secondary to midgut volvulus He suffered mainly from both severe high output syndrome which caused a large amount of enteric fluid to flow out from the jejunostomy and growth impairment although PN continued after the occurrence of SBS As a result he thereafter could not continue his daily school life Therefore he was introduced to our department at 6 months after the operation A closure of the jejunostomy combined with longitudinal intestinal lengthening using Bianchi’s procedure was performed Thereafter the abovedescribed symptoms disappeared He was discharged and thereafter was again able to attend school with an improvement in his growth within 2 months after the second operation Home PN was discontinued at 15 months after the second operation Based on our experience in cases of SBS without intestinal functional disorder an early closure of the jejunostomy combined with Bianchi’s procedure might therefore possibly lead to an early improvement in the complications related to SBS

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