December 1964

Nutritional Effects of A Short Reversed Jejunal Segment

Author Affiliations

From the Departments of Surgery and Medicine, Roswell Park Memorial Institute (New York State Department of Health).

Arch Surg. 1964;89(6):1102-1105. doi:10.1001/archsurg.1964.01320060170030

Previous studies have indicated that the interposition of a short reversed small bowel segment after massive small bowel resection in dogs will prolong transit time and maintain better nutritional status.1-5 Using triolein 1131, Singleton et al3 found that fat absorption rose temporarily after interposition of a nine- to ten-inch reversed segment of ileum, but was unable to explain why the animals became cachectic and died after a three- to four-month period, with a gradual decrease of absorption levels. Stahlgren et al5 found that losses of water, fat, and nitrogen were decreased by the effects of a short antiperistaltic segment.

Recently, Gibson et al6 reported the successful use of a short reversed small bowel segment in an 80-year-old female patient who underwent resection of more than 90% of the intestine for occlusion of the superior mesenteric artery with gangrene of the bowel.

The present study of fat

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