Clinical Nutrition, Geneva University Hospital, Rue Gabrille-Perret-Gentil 4, 1211 Geneva 14, Switzerland.
Obes Surg. 2010 May;20(5):666-71. doi: 10.1007/s11695-010-0098-y. Epub 2010 Feb 26.
A 44-year-old woman with a history of Roux-en-Y gastric bypass (RYGBP) suffered small bowel volvulus. She was left post-operatively with an intact duodenum, 25 cm of jejunum and ileum, and a colon in continuity, a situation synonymous to short bowel syndrome. This report describes her surgical, medical and nutritional follow-up until complete weaning of parenteral nutrition despite of her very short remnant small bowel and persistently low citrullinemia. The discussion aims at demonstrating the rarity of these complications after RYGBP according to the literature. Furthermore, it challenges the validity of the present markers of parenteral nutrition independence (remnant small bowel length, citrullinemia) in case of short bowel syndrome.
一位 44 岁的女性，有 Roux-en-Y 胃旁路术（RYGBP）病史，发生了小肠扭转。手术后，她遗留了完整的十二指肠、25 厘米空肠和回肠以及连续性结肠，这种情况等同于短肠综合征。本报告描述了她的手术、医疗和营养随访情况，尽管她的残余小肠非常短，且持续性低瓜氨酸血症，但她最终成功地脱离了肠外营养。讨论旨在根据文献证明 RYGBP 后这些并发症的罕见性。此外，它对短肠综合征情况下肠外营养独立性的现有标志物（残余小肠长度、瓜氨酸血症）的有效性提出了挑战。
