Liječnički vjesnik, Vol. 142 No. 1-2, 2020.
Pregledni rad
https://doi.org/10.26800/LV-142-1-2-2
Short bowel syndrome in septic patients: a case report
Gordana Kristek
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Slavica Kvolik
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Sonja Škiljić
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Dalibor Kristek
; Klinika za kirurgiju, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Ivana Haršanji Drenjančević
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Nenad Nešković
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Aurelija Majdenić Štaba
; Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Medicinski fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, KBC Osijek
Sažetak
Short bowel syndrome is a global malabsorption state resulting from an inadequate length of intestine following intestinal resection. Residual bowel length is generally considered to be the primary determinant
of outcome in these patients. This complex condition requires a multidisciplinary approach to reduce morbidity and mortality. In this case report we describe a 60-year-old female patient who underwent multiple bowel resections that resulted in postduodenal small intestine length of 30 cm with an end jejunostomy being formed. Her
intensive care unit stay was complicated with respiratory failure, bilateral pneumonia and sepsis. She was mechanically ventilated and treated with antimicrobial agents according to microbial isolates and antibiograms. Total parenteral nutrition was started immediately after the surgery and enteral nutrition was gradually introduced. A multidisciplinary team consisting of anesthesiologists, surgeons and gastroenterologists participated in her treatment. After four months of hospital treatment the patient was discharged home equipped with a permanent tunneled central venous catheter and continued home parenteral nutrition in combination with oral feeding.
Ključne riječi
SHORT BOWEL SYNDROME – complications, physiopathology, therapy; MALABSORPTION SYNDROMES – etiology, physiopathology, therapy; INTESTINE, SMALL – surgery; JEJUNOSTOMY; SEPSIS – complications, therapy; RESPIRATORY INSUFFICIENCY – complications, therapy; PARENTERAL NUTRITION, TOTAL; ENTERAL NUTRITION; NUTRITIONAL STATUS; NUTRITIONAL SUPPORT; PATIENT CARE TEAM
Hrčak ID:
236579
URI
Datum izdavanja:
31.3.2020.
Posjeta: 1.872 *