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  • Title: [Massive small bowel resection. Apropos of 27 cases].
    Author: Boncompain G, Baulieux J, Neidhardt J, Caillot JL, Peix JL, Salord F, Langevin B, Gaussorgues P, Sirodot M, Descos L.
    Journal: Chirurgie; 1991; 117(1):28-35; discussion 35-6. PubMed ID: 1773648.
    Abstract:
    27 patients were admitted in the Digestive intensive care unit of Croix-Rousse Hospital after a massive bowel resection (residual bowel 120 cm). The etiology was of vascular origin in 15 cases. The length of intestine was nil in 4 cases, between 20 and 50 cm in 12 cases, and between 50 and 120 cm in 11 cases. A colon resection was performed in 20 cases. For 5 patients, a "double temporary intestinal stoma" for ischemic bowel was made. A "second look laparotomy" was performed in 11 cases. The definitive intestinal continuity restauration was made in 23 cases (7 immediately, 16 later) with 3 duodenocolic anastomoses. 8 patients were able to find back a oral alimentation. 19 patients (with 4 total bowel resections) received a home parenteral nutrition. Actually, 11 are alive.
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