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KMID : 0816120040070020260
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2004 Volume.7 No. 2 p.260 ~ p.263
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Continuous Distal Ileostomy Drip Feeding with the Secretion of the Proximal Stoma in a Neonate with IIIa Ileal Atresia.
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Yang Eun-Seok
Jang Jeong-Hwan
Kim Eun-Young
Moon Kyung-Rye
Choi Yun-Chang
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Abstract
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Short-bowel syndrome is functionally defined as a state of malabsorption following loss of small bowel, which comprises the sequelae of nutrient, fluid, and weight loss. The proximal segment of the bowel of a patient with intestinal atresia is usually grossly distended and atonic. In contrast, distal segment is smaller. For this reason, anastomosis of the proximal and the distal segment is technically difficult and may cause no propulsion even when they are anastomosed. We experienced that continuous drip ileostomy feeding with the secretions from the proximal stoma stimulated the distal bowel to accommodate and resolved many sequelae following loss of small bowel in a patient with short-bowel syndrome due to IIIa ileal atresia.
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KEYWORD
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Continuous drip ileostomy feeding, Short-bowel syndrome
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