Hội chứng suy ruột sau cắt toàn bộ ruột non, nửa đại tràng phải do huyết khối tắc động mạch mạc treo tràng trên: Điều trị sau mổ, nhìn lại y văn nhân 2 trường hợp điều trị tại Bệnh viện Trung ương Quân đội 108

Abstract

Reported two patients with type 3 bowel failure syndrome after surgical resection of the entire small intestine and right colectomy. Treatment experience, postoperative care, literature review. The first patient, 44 year-old male had emergency surgery to remove the entire small intestine and right half of the colon, draining the third duodenum due to complete obstruction of the superior mesenteric artery causing complete necrosis of the small intestine and right colon. The patient was fed intravenously, had a septicemia from the box for subcutaneous infusion, femoral artery occlusion, 8 months postoperative patient died of pulmonary thrombosis. The second patient, 66 year-old male had emergency surgery to remove the entire small intestine and right half of the colon, draining the third duodenum due to complete obstruction of the superior mesenteric artery causing complete necrosis of the small intestine and right colon. After 4 months, the patient was connected to the jejunum and transverse colon. The patient was orally fed with the main intravenous route. After 20 months, the patient died from exhaustion, brain stroke. Intestinal failure patients are fed intravenously to help prolong life, reduce the rate of complications. Bowel transplantations is an optimal solution to resolve long-term intravenous nutritional complications in patients with bowel failure.