Nutritional Management by Administration of Intestinal Output From Oral Jejunostomy to Anal-Side Residual Gut in Patient With Multiple Intestinal Atresia : A Report of a Case

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  • 多発型腸閉鎖症の患児に対する術後栄養管理の工夫

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Abstract

We report on a case with gastroschisis and multiple intestinal atresia in which intestinal output was administrated from oral-side jejunostomy to anal-side residual gut as a nutritional management technique. During the operation for intestinal atresia, a double-barrel type jejunostomy was constructed for the prophylaxis of anastomotic leakage. The residual intestinal length was 45 cm from the jejunostomy. TPN was initialed just after the operation. He started oral intake 2 weeks after operation and intestinal output from oral jejunostomy was administered to anal-side gut with ursocolic acid, dietary fiber, and stomach and intestinal medicine. He gained body weight rapidly, and his jejunostomy was closed 222 days after birth. At that time the residual intestine reached 70 cm in length. We conclude that enteral nutrition using jejunostomy is very effective for the development of intestine as well as patient's growth.

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