All issues > Volume 32(1); 1989

Original Article

J Korean Pediatr Soc. 1989;32(1):81-86. Published online January 31, 1989.

A Case of Neonatal Short Bowel Syndrome.

Gill Hyoun Kim¹, In Chul Yoo¹, Dong Hwan Lee¹, Sang Jhoo Lee¹

¹Department of Pediatrics, Soon Chun Hyang University, College of Medicine, Seoul, Korea

Received: May 30, 1988;  Accepted: July 22, 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.

Keywords :Short Bowel Syndrome, Jejuno-ileal Atresia