Free Content Gastro-colonic anastomosis - a viable option in extensive small bowel infarction

Authors: Thomas, A.D.; Rocker, M.D.; Morris-Stiff, G.; Lewis, M.H.

Source: Annals of The Royal College of Surgeons of England, Volume 88, Number 1, January 2006 , pp. W5-W7(3)

Publisher: The Royal College of Surgeons of England

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Abstract:

Introduction: We have previously presented a patient with massive small and large bowel infarction and demonstrated that even with only a few inches of remaining small bowel an almost normal life-style and diet is possible.

Patient: Recently, we have looked after a young and otherwise fit female patient who suffered mesenteric venous gangrene of the whole small bowel from the Ligament of Treitz to the caecum. In order to achieve gastro-intestinal continuity and to avoid the torrential fluid loss associated with high fistula, an anastomosis between the stomach and the transverse colon was formed.

Result: We are surprised to find that despite the extensive resection our patient maintains a good quality of life and is able to look after her young family.

Keywords: MESENTERIC VENOUS GANGRENE; SMALL BOWEL RESECTION

Document Type: Case report

DOI: http://dx.doi.org/10.1308/147870806X83251

Affiliations: 1: Department of Surgery, Royal Glamorgan Hospital, Llantrisant, UK

Publication date: 2006-01-01

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  • The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.

    The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.

    Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database

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