The use of a reversed jejunal segment after massive resection of the small bowel. An experimental study.
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Resection of all the small intestine but the proximal 8 in. of jejunum was performed in an elderly woman. Intestinal function tests revealed an extensive defect of absorption. The patient died nine months after the operation in a state of extreme emaciation. Necropsy revealed hypertrophy of the remnant of small intestine and intense fatty degeneration of the liver.
Biochemical, haematological, and radiological investigations are reported in a young child in whom nearly 80% of the small intestine was resected. The prognosis in a child after such extensive resection is probably better than in an adult, as natural growth can still occur with the expectation of greater adaptability as well as of increased length of the remaining segments.
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