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 |
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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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