Article

Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text
Advertising


Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 33,00 € Taxes included to order
    Pages Iconography Videos Other
    10 0 0 0


Nutrition clinique et métabolisme
Volume 14, n° 4
pages 310-319 (décembre 2000)
Doi : S0985-0562(00)80009-6
accepted : 3 October 2000
Prise en charge à long terme du grêle court (adulte)
Long-term management of adult patients with a short-bowel syndrome
 

André Van Gossum
 Service d'hépato-gastro-entérologie et pancréatologie, hôpital Erasme, route de Lennik, Bruxelles, Belgique 

Résumé

Le syndrome du grêle court constitute la cause la plus fréquente d'insuffisance intestinale chronique. Le grêle est considéré comme « courtlorsque l'intestin résiduel mesure moins de 2 mètres ; l'anatomie du segment intestinal résiduel influence les capacités d'adaptation. Près de 50 % des patients souffrant de « grêle courtvont nécessiter le maintien d'un support nutritionnel par voie parentérale. Les apports en lipides doivent être compris entre 1 g/kg/semaine et 1 g/kg/j en vue d'éviter une carence en acides gras essentiels et par ailleurs de diminuer les risques d'hépatopathie. L'apport en vitamines et en oligo-éléments est indispensable ; il existe un risque de toxicité cérébrale en cas d'administration de doses élevées de manganèse. L'effet positif de l'administration de glutamine et d'hormones de croissance pour augmenter les capacités d'absorption de l'intestin résiduel reste discuté.

The full text of this article is available in PDF format.
Summary

Short bowel is the main cause for chronic intestinal failure. The small bowel is considered to be “short” when the length of the remaining gut is less than 2 meters; the anatomy of the residual intestine may influence the adaptative capacities of the gut. Almost half of the patients with a “short bowel” need a long-term parenteral support. The amount of parenteral lipids must be ranged between 1 g/kg body weight/week and 1 g/kg body weight/day in order to prevent essential fatty acids deficiency and, on the other hand, to limit the risk of lipid-related hepatopathy. Vitamins and trace-elements must be regularly provided; there is a risk of brain toxicity due to excessive iv administration of manganese. Advantages of glutamine or growth hormones are still debated.

The full text of this article is available in PDF format.

Keywords : grêle court, malabsorption, nutrition, nutrition parentérale

Keywords : malabsorption, nutrition, parenteral nutrition, short bowel




© 2000  Published by Elsevier Masson SAS.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline
You can move this window by clicking on the headline
@@#110903@@