Massive resection of intestine in infancy

INTERNATlON.4L

.itrc.si;l

.4BSTRACTS

of

thr

jejun,,n~

01

lm1\~,1 cc,m]~lic:~tionof ‘1‘11~

;ll,thors

OhservcYl

OF

I’EI)IATRIC

iIt’,,,,,

is

;I

3 hrot]1ers:the o]&st

~~x~,,,~l 01,~~hat1 ;I n,i,~olfor,,,of n,,,co\isc,itlosis nntl the >,onngrst one h;d ,,wu,,,i,,,l,

;itrcG:t.--M.

107

‘l‘li~~ ;,,,tl,ors I ,I.’,cs11\ re\.iekv ac,,te alqxdicitis

tlit. lituat,,rt, oc,rl,rri,,,q il,

,,,ccwi,,,,riltar,s. conctmling

o,I('hat1 ,,,cconil,,,, ileus a,,tl ;,trcsi;i. tht-

ih,,,s witllor,t

SUR(:EH\

IjctlCz.Y

i,if:u,q. Xld culphasizc tli;kg,,osis. antI th(s high i;ltetl wit], tht, disrast.. Thr! rrport f<*,,,:IIt~ inf;ir,t. gross lx~riplicr:,l Ha,,,,~rc~l

xe;i

the

difficulties

n,ort:tlit\~

mte

i,,

;,1(soc-

the c‘;I~(’ of il 1.7-tl;~y-11ltl xl,,,ittc~tl to hospital \vitlr circ~,,l;ttor\ f:lilt,rcs. .\,I illi,, thci right

lower

cl,,;ctlr;t,,t

;~,,tl tlcrl, to of tlrc, ;~l,~lo,i,~,, LV;IS \,isil,lc, this itrv;i ;Ln i,,tr:~-;~l,tlo,,,iIl;tl ,,,i,ss w;,s plptcd. A ;qqxdice;~l

provisiorr;~l cli,,icnl (liilposis ot al,scess or retroperitont~al tl,l,,o,

\\'ilS ,1de.

‘i‘wrl~~

other

tli\,rrticr,l;l

CI~ I:~paroto,,~\ tl,,cts. 4 ile,;s.

S! nrptonr, ;it

C’;L,,SC 3

of the 3 C’:ISC’S of (liverticrectal I,lrctling ;~s lxinci-

I,,lt ,,o cctopic

follml

\VL,S

direct

omplr;,lomt~ri~ intr,ssl,s~el,tio,,s :,ntl

3

(li\csrtic,,litis. Two I,liti$ hd ,,r;lsske ld

wrre

: 2, ptrnt

histologic

gostrir n~,,cosil r\;,,nin;~tio,l.-nl.

/3c7tm

tion i,, the ncwl,or,,. S,,Ch :,s infertio,, \ ,111,s of tllc IO ,,msi\.e I)c,wt,l. the

s,,,:lll

r?stx+o,l rtm,;~i,,ing

intestinf~

wm

s,ll,jectrtl

of snrdl ;~ntl Imp sndl Imv~l (20 c,,,.

11t ivj,,n,,,,,) l,eing anastomostd to tl,t* trmis\ (Lrs(’ CY,ll,ll. After k, stornr\, postopxtivt~ l,er,(,d he hegm to i,nprou~ .;ifter 5 ,,,onths. I),,t lht

\rnriol,s

:\ clmngt~ i,, :ir(’ (lisc1,sst.d.

tltiologic

the Tht*

dirt

f;tctors or

\ ir:kl

etioll,p

0t

fetd i,,t,,ss,,sC.rptio,I in rcllatio,, to xksii, is tlisc,,sscd. Rot], c:ib(3 sl,r\4\4. ;~ltho,,gl, pritonitis \vds prc~sc,,t in the first lutic3tt. ;,ntl ill the scc~mtl lmtiu,t tlicrt, \v;is x,1 ;,ssociatcd ilral k,trcsi:i.-S. I~~#rt,cllltl cltd Ff. R. Eckstcin

did ;It I; months of age. At ;Ir,ttrps! jcj,,,1,1,,, hxl tle\rloIK’l to 15.*5 CL,,.

ill lm,qth. Review of the litrr;rt,,rr suggests th;lt. pm it14 the ileocecd vnlxrc is intact. thy infant will snr\.ivr if .50 c,,). of small I,c,wt~l rc,n;,ins. It the nn;,sto,nosis l,ortio,,

Four dso

involk t3

loss

of

of col~,,i. including the ileocccd the results \ ;tl\,ts. ;I\ ill this case report. ;~rts Icss s:Ltisf:lctory. The 11s~ of ;,,, antilx,rist:lltic scgmrnt to slow the tmnsit ti,ncs of the intestinal contents mav i,npro\-e the rc31,lts in this gro,,p.-E. 7Irrrl~cmSwitl,

we‘re Stan ant1

(‘RSPS of seventy-nil,? 193X to 1963 st’t’u frtr,ll Fiftcdc>n \e;,rs ago ,nost ptic~rita

hu,,drtd

i,,t~,ss,,sceptio,r were’ st,,clietl.

enrh

in the co,,rsc

~~YW\WWI pro,nptl~

tl,,ctio,,

of thr

distxsc,

k,ftcir ,n;,n,,:ll rt’Intcstind rc3ectiotl b,,t was :issocinttxl

at lalmroton~v. often rccll,iretl with i, sig,,ificant nmrtalitv. TotIn\ l;,l,i~roto,,~! is ~lx~rformtd tor lx]"""",,'"d s\,,l]a,,l,~ ticllts with ,,,ort’ of longer duri,tio,l. Kcswtiotr is ,wc~,,iwtl W&S

Ilot