کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2691307 1564761 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Three cases of conservatively treated pneumatosis intestinalis associated with jejunal feeding after pancreaticoduodenectomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
پیش نمایش صفحه اول مقاله
Three cases of conservatively treated pneumatosis intestinalis associated with jejunal feeding after pancreaticoduodenectomy
چکیده انگلیسی

SummaryBackground & aimsPneumatosis intestinalis (PI), characterised by the presence of intramural air in the bowel wall, is seen in various diseases, in some cases leading to explorative laparotomy and resection of the involved bowel. Here, we describe three cases of PI after pancreaticoduodenectomy (PD) associated with post-operative feeding through a needle catheter jejunostomy (NCJ).MethodRetrospective analysis of three cases of PI after PD with clinical and radiological findings.ResultsAll patients underwent a PD for periampullary cancer and an NCJ was performed for post-operative feeding. PI was observed 8–32 days after surgery. None of the patients had an acute abdomen or hemodynamical instability necessitating acute surgery. After excluding associated causes of PI, immediate discontinuation of enteral feeding and initiation of parenteral nutrition resulted in a rapid recovery. None of the patients required surgery.ConclusionIn patients with an NCJ for post-operative nutritional support who develop PI, we advise to take these measures as a first step, while excluding associated complications and other causes for PI.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism - Volume 5, Issue 2, April 2010, Pages e69–e72
نویسندگان
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