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[Nutritional and dietary management after extensive intestinal resection].

Identifieur interne : 000080 ( Main/Exploration ); précédent : 000079; suivant : 000081

[Nutritional and dietary management after extensive intestinal resection].

Auteurs : Yassine Jemaa ; Mouna Chaieb ; Mohamed Salem ; Taoufik Najjar

Source :

RBID : pubmed:19472777

Descripteurs français

English descriptors

Abstract

BACKGROUND

Short bowel syndrome arose after extended intestinal resection over two meters. It was observed in 15% of intestinal resection in adults. Crohn's disease (in UK) and mesenteric ischemia (in France) were the most frequent etiologies. In adults, the incidence was estimated at two adults/million inhabitants/year.

AIM

This review aimed to provide answer for these questions: 1. Who are patients interested by short bowel syndrome? 2. Which interventions are responsible? 3. What is evolution before and after nutritional assistance?

METHODS

An electronic search was performed between 1990 an 2006 in Medline database with the following keywords: "short bowel disease", "treatment" and "inflammatory bowel disease". Recent literature reviews and meta analysis were retained for analysis.

RESULTS

After an extensive intestinal resection, nutritional management should start early during the post operative course. This strategy will prevent in time life threatening complications. NPDA is indicated temporarily for short bowel syndrome until intestinal readaptation or definitively in case of severe short bowel syndrome to improve survival and quality of life.


PubMed: 19472777


Affiliations:


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Le document en format XML

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<nlm:affiliation>Service de Gastro-entérologie, Hôpital Charles Nicolle.</nlm:affiliation>
<wicri:noCountry code="subField">Hôpital Charles Nicolle</wicri:noCountry>
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<name sortKey="Chaieb, Mouna" sort="Chaieb, Mouna" uniqKey="Chaieb M" first="Mouna" last="Chaieb">Mouna Chaieb</name>
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<name sortKey="Salem, Mohamed" sort="Salem, Mohamed" uniqKey="Salem M" first="Mohamed" last="Salem">Mohamed Salem</name>
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<term>Humains (MeSH)</term>
<term>Nutrition parentérale (MeSH)</term>
<term>Syndrome de l'intestin court (diétothérapie)</term>
<term>Syndrome de l'intestin court (thérapie)</term>
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<term>Syndrome de l'intestin court</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
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<p>Short bowel syndrome arose after extended intestinal resection over two meters. It was observed in 15% of intestinal resection in adults. Crohn's disease (in UK) and mesenteric ischemia (in France) were the most frequent etiologies. In adults, the incidence was estimated at two adults/million inhabitants/year.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>This review aimed to provide answer for these questions: 1. Who are patients interested by short bowel syndrome? 2. Which interventions are responsible? 3. What is evolution before and after nutritional assistance?</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>An electronic search was performed between 1990 an 2006 in Medline database with the following keywords: "short bowel disease", "treatment" and "inflammatory bowel disease". Recent literature reviews and meta analysis were retained for analysis.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>After an extensive intestinal resection, nutritional management should start early during the post operative course. This strategy will prevent in time life threatening complications. NPDA is indicated temporarily for short bowel syndrome until intestinal readaptation or definitively in case of severe short bowel syndrome to improve survival and quality of life.</p>
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<name sortKey="Najjar, Taoufik" sort="Najjar, Taoufik" uniqKey="Najjar T" first="Taoufik" last="Najjar">Taoufik Najjar</name>
<name sortKey="Salem, Mohamed" sort="Salem, Mohamed" uniqKey="Salem M" first="Mohamed" last="Salem">Mohamed Salem</name>
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