The Challenging Management of Short Bowel Syndrome
A 62-year-old female presented to the Emergency Department of the General Hospital of Katerini, Greece, complaining of abdominal pain, fever, and general discomfort. Laboratory tests indicated an elevated white blood cell count and an elevated C-reactive protein level. A computed tomography (CT) sca...
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MDPI AG
2025-06-01
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| author | Ismini Kountouri Afroditi Faseki Alexandra Panagiotou Christina Sevva Ioannis Katsarelas Dimitrios Chatzinas Konstantinos Papadopoulos Vasilis Stergios Stylianos Mantalovas Vasileios Alexandros Karakousis Panagiotis Nachopoulos Athanasios Polychronidis Mohammad Husamieh Christos Gkogkos Marios Dagher Panagiota Roulia Amyntas Giotas Miltiadis Chandolias Periklis Dimasis Dimitra Manolakaki Isaak Kesisoglou Nikolaos Gkiatas |
| author_facet | Ismini Kountouri Afroditi Faseki Alexandra Panagiotou Christina Sevva Ioannis Katsarelas Dimitrios Chatzinas Konstantinos Papadopoulos Vasilis Stergios Stylianos Mantalovas Vasileios Alexandros Karakousis Panagiotis Nachopoulos Athanasios Polychronidis Mohammad Husamieh Christos Gkogkos Marios Dagher Panagiota Roulia Amyntas Giotas Miltiadis Chandolias Periklis Dimasis Dimitra Manolakaki Isaak Kesisoglou Nikolaos Gkiatas |
| author_sort | Ismini Kountouri |
| collection | DOAJ |
| description | A 62-year-old female presented to the Emergency Department of the General Hospital of Katerini, Greece, complaining of abdominal pain, fever, and general discomfort. Laboratory tests indicated an elevated white blood cell count and an elevated C-reactive protein level. A computed tomography (CT) scan revealed dilated small bowel loops and free intraperitoneal fluid. During laparotomy, extensive ischemia and necrosis of both the small and large bowel were discovered, and a resection of the small bowel and the right colon was performed, leaving the patient with only 90 cm of small intestine and a jejunocolic anastomosis. Postoperative management was particularly challenging, requiring a multidisciplinary approach, an intensive care unit stay, reoperations due to anastomotic leaks, continuous parenteral nutrition and electrolyte management, and aggressive antibiotic treatment for persistent bacterial infections. This case report highlights the importance of appropriate management of this life-threatening complication following extensive bowel resection. |
| format | Article |
| id | doaj-art-5fff1d1671e4448c9c8f648c8eee089a |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-5fff1d1671e4448c9c8f648c8eee089a2025-08-20T03:27:01ZengMDPI AGDiagnostics2075-44182025-06-011512153210.3390/diagnostics15121532The Challenging Management of Short Bowel SyndromeIsmini Kountouri0Afroditi Faseki1Alexandra Panagiotou2Christina Sevva3Ioannis Katsarelas4Dimitrios Chatzinas5Konstantinos Papadopoulos6Vasilis Stergios7Stylianos Mantalovas8Vasileios Alexandros Karakousis9Panagiotis Nachopoulos10Athanasios Polychronidis11Mohammad Husamieh12Christos Gkogkos13Marios Dagher14Panagiota Roulia15Amyntas Giotas16Miltiadis Chandolias17Periklis Dimasis18Dimitra Manolakaki19Isaak Kesisoglou20Nikolaos Gkiatas21Third Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceGynecology and Obstetrics Department, General Hospital of Katerini, 60132 Pieria, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceGynecology and Obstetrics Department, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceThird Surgical Department, AHEPA University Hospital, Medical Faculty, Aristotle University of Thessaloniki, 1 Kiriakidi Street, 54636 Thessaloniki, GreeceDepartment of General Surgery, General Hospital of Katerini, 60132 Pieria, GreeceA 62-year-old female presented to the Emergency Department of the General Hospital of Katerini, Greece, complaining of abdominal pain, fever, and general discomfort. Laboratory tests indicated an elevated white blood cell count and an elevated C-reactive protein level. A computed tomography (CT) scan revealed dilated small bowel loops and free intraperitoneal fluid. During laparotomy, extensive ischemia and necrosis of both the small and large bowel were discovered, and a resection of the small bowel and the right colon was performed, leaving the patient with only 90 cm of small intestine and a jejunocolic anastomosis. Postoperative management was particularly challenging, requiring a multidisciplinary approach, an intensive care unit stay, reoperations due to anastomotic leaks, continuous parenteral nutrition and electrolyte management, and aggressive antibiotic treatment for persistent bacterial infections. This case report highlights the importance of appropriate management of this life-threatening complication following extensive bowel resection.https://www.mdpi.com/2075-4418/15/12/1532acute abdomenmesenteric ischemiashort bowel syndromeexcessive bowel resectionmanagement |
| spellingShingle | Ismini Kountouri Afroditi Faseki Alexandra Panagiotou Christina Sevva Ioannis Katsarelas Dimitrios Chatzinas Konstantinos Papadopoulos Vasilis Stergios Stylianos Mantalovas Vasileios Alexandros Karakousis Panagiotis Nachopoulos Athanasios Polychronidis Mohammad Husamieh Christos Gkogkos Marios Dagher Panagiota Roulia Amyntas Giotas Miltiadis Chandolias Periklis Dimasis Dimitra Manolakaki Isaak Kesisoglou Nikolaos Gkiatas The Challenging Management of Short Bowel Syndrome Diagnostics acute abdomen mesenteric ischemia short bowel syndrome excessive bowel resection management |
| title | The Challenging Management of Short Bowel Syndrome |
| title_full | The Challenging Management of Short Bowel Syndrome |
| title_fullStr | The Challenging Management of Short Bowel Syndrome |
| title_full_unstemmed | The Challenging Management of Short Bowel Syndrome |
| title_short | The Challenging Management of Short Bowel Syndrome |
| title_sort | challenging management of short bowel syndrome |
| topic | acute abdomen mesenteric ischemia short bowel syndrome excessive bowel resection management |
| url | https://www.mdpi.com/2075-4418/15/12/1532 |
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