Öz
Parenteral nutrition is the
most commonly used treatment for short bowel syndrome and oral nutrition should
be encouraged in appropriate patients. A 47-year-old male patient underwent
emergency surgery for small bowel perforation due to lymphoma. Proximal and
distal small bowel loops were brought as an rifle barrel in abdominal ostomy.
Oral feeding solution containing medium chain fatty acids was started on the
first postoperative day. Small bowel
contents to the ostomy bag were given to the distal bowel loops with a
catheter. The patient did not need postoperative parenteral nutrition. Six
weeks later, the patient's ostomy was closed and discharged without any
problem. Intestinal integrity is achieved by transporting the contents of the
small intestine from the proximal bowel loops to the distal segments. Thus, the
patient was protected from malnutrition and its complications
Anahtar Kelimeler
Short bowel syndrome; malnutrition; nutrition therapy; ostomy.
Kaynakça
- Pironi L, Arends J, Baxte83r J, Bozzetti F, Peláez RB, Cuerda C, et al. Home Artificial Nutrition & Chronic Intestinal Failure. Acute Intestinal Failure Special Interest Groups of ESPEN. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr. 2015;34(2):171-80.
- Mihatsch W, Shamir R, van Goudoever JB, Fewtrell M, Lapillonne A, Lohner S, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: guideline development process for the updated guidelines. Clin Nutr. 2018; 37:2306–8.
- Goulet O, Abi Nader E, Pigneur B, Lambe C. Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management. Pediatr Gastroenterol Hepatol Nutr. 2019;22(4):303-329.
- Jeppesen PB, Fuglsang KA. Nutritional Therapy in Adult Short Bowel Syndrome Patients with Chronic Intestinal Failure. Gastroenterol. Clin. North Am. 2018;47(1):61-75.
- Goulet O, Olieman J, Ksiazyk J, Spolidoro J, Tibboe D, Köhler H, et al. Neonatal short bowel syndrome as a model of intestinal failure: physiological background for enteral feeding. Clin Nutr. 2013; 32:162–171.
- Goulet O, Ruemmele F, Lacaille F, Colomb V. Irreversible intestinal failure. J Pediatr Gastroenterol Nutr. 2004; 38:250–269.
- Tominaga K, Kamimura K, Takahashi K, Yokoyama J, Yamagiwa S, Terai S. Diversion colitis and pouchitis: A mini-review. World J Gastroenterol. 2018 Apr 28;24(16):1734-1747.
Öz
Kısa barsak sendromlu hastaların beslenmesi
için en sık kullanılan tedavi yöntemi parenteral nütrisyon olup, uygun
hastalarda oral beslenme teşvik edilmelidir. Erkek, 47 yaşındaki hasta
lenfomaya bağlı incebarsak perforasyonu nedeniyle acil olarak ameliyat edildi.
Proksimal ve distal incebarsak ansları tüfek namlusu şeklinde batına ostomi
yapılarak ağızlaştırıldı. Postoperatif 1.gün orta zincirli yağ asitleri içeren
oral beslenme solüsyonu başlandı. Ostomi torbasına gelen incebarsak içeriği bir
kateter yardımı ile distal barsak ansına verildi. Hastanın postoperatif
parenteral beslenme ihtiyacı olmadı. Altı hafta sonrasında hastanın ostomisi
kapatıldı ve sorunsuz taburcu edildi. Proksimal barsak anslarından gelen incebarsak
içeriğinin distal segmentlere ulaştırılması ile barsak bütünlüğü sağlanmış olup
hasta malnütrisyon ve komplikasyonlarından korunmuştur.
Anahtar Kelimeler
Kaynakça
- Pironi L, Arends J, Baxte83r J, Bozzetti F, Peláez RB, Cuerda C, et al. Home Artificial Nutrition & Chronic Intestinal Failure. Acute Intestinal Failure Special Interest Groups of ESPEN. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr. 2015;34(2):171-80.
- Mihatsch W, Shamir R, van Goudoever JB, Fewtrell M, Lapillonne A, Lohner S, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: guideline development process for the updated guidelines. Clin Nutr. 2018; 37:2306–8.
- Goulet O, Abi Nader E, Pigneur B, Lambe C. Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management. Pediatr Gastroenterol Hepatol Nutr. 2019;22(4):303-329.
- Jeppesen PB, Fuglsang KA. Nutritional Therapy in Adult Short Bowel Syndrome Patients with Chronic Intestinal Failure. Gastroenterol. Clin. North Am. 2018;47(1):61-75.
- Goulet O, Olieman J, Ksiazyk J, Spolidoro J, Tibboe D, Köhler H, et al. Neonatal short bowel syndrome as a model of intestinal failure: physiological background for enteral feeding. Clin Nutr. 2013; 32:162–171.
- Goulet O, Ruemmele F, Lacaille F, Colomb V. Irreversible intestinal failure. J Pediatr Gastroenterol Nutr. 2004; 38:250–269.
- Tominaga K, Kamimura K, Takahashi K, Yokoyama J, Yamagiwa S, Terai S. Diversion colitis and pouchitis: A mini-review. World J Gastroenterol. 2018 Apr 28;24(16):1734-1747.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ekim 2019 |
| Gönderilme Tarihi | 8 Ekim 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 1 Sayı: 1 |
Kaynak Göster
SAĞLIK PROFESYONELLERİ ARAŞTIRMA DERGİSİ / JOURNAL OF HEALTH PROFESSIONALS RESEARCH /J HEALTH PRO RES