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A Case of Neonatal Short Bowel Syndrome.

Journal of the Korean Pediatric Society 1989;32(1):81-86.
Published online January 31, 1989.
A Case of Neonatal Short Bowel Syndrome.
Gill Hyoun Kim, In Chul Yoo, Dong Hwan Lee, Sang Jhoo Lee
Department of Pediatrics, Soon Chun Hyang University, College of Medicine, Seoul, Korea
신생아 Short Bowel 증후군 1례
김길현, 유인철, 이동환, 이상주
순천향대학 의학부 소아과학교실
Received: 30 May 1988   • Accepted: 22 July 1988
Abstract
We experienced a case of neonatal short bowel syndrome due to multiple jejuno-ileal atresia with microcolon. On the 1st day of her life, there were symptoms of vomiting and abdominal distension. The radiological study show multiple dilated intestinalloops and malrotation. On the 4th day of her life, the extensive enterectomy was done. The remaining small bowel consisted of 30 cm of proximal jejunum and distal ileum. The ileocecal valve was reserved. The intractable diarrhea was developed after milk feeding on the 23rd day of operation. The growth rate was reduced. The Parenteral nutrition was administered for the first 2 weeks. The cimetidine, loperamide and cholestyramine were given for severe diarrhea and poor weight gain. On 53rd of hospital day, the frequency of diarrhea was reduced markedly, and the weight gain was satisfactory Despite of short bowel length, she maintained a relatively normal growth and development.
Key Words: Short Bowel Syndrome, Jejuno-ileal Atresia


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