Eyosiyas Assefa¹, Tsedalu Worku¹, Wondwossen Amtataw¹* and Michael Berega²

¹Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
²Department of Surgery, Tirunesh Beijing Hospital, Addis Ababa, Ethiopia

*Corresponding Author: Wondwossen Amtataw, Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.

Received: March 25, 2024; Published: April 17, 2024

Abstract

Short Bowel Syndrome (SBS) is a condition characterized by insufficient small intestine length, often resulting from surgical removal due to disease or injury. It has potential complication like nutritional malabsorbation, dehydration and electrolyte imbalance, altered bile acid circulation and bacterial infection. A multidisciplinary approach involving dieticians, gastroenterologists, and surgeons is crucial for the comprehensive care of individuals with Short Bowel Syndrome. So patients with SBS managed for nutritional support, medication, surgical interventions and regular monitoring. Here our patient was presented with marked diffuse abdominal pain associated with failure to pass faces and flatus, and severe bouts of vomiting. Upon examination, there were signs of dehydration, abdominal distention, and rebound tenderness and guarding. For diagnosis of generalized peritonitis patient was operated and found to have gangrenous small bowel with only proximal and distal 10 cm segments of viable bowel for which end-to-end jejunoileal anastomosis was done. Due to economic constraints patient was not put on total parental nutrition rather he was put on small frequent oze feeding. Despite weight loss for the first few subsequent weeks follow up lately the patient fortunately started to gain weight and currently he is on follow-up with marked improvement and stable clinical condition.

Keywords: Short Bowel Syndrome; Mal-Absorption; Total Parenteral Nutrition

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Citation

Citation: Wondwossen Amtataw., et al. “Survival without Total Parenteral Nutrition in Small Bowel Syndrome Following Near-Total Small Bowel Resection: A Case Report from Tirunesh Beijing General Hospital, Addis Ababa Ethiopia".Acta Scientific Clinical Case Reports 5.5 (2024): 17-20.

Copyright

Copyright: © 2024 Wondwossen Amtataw., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.