Tratamiento del Intestino Ultracorto no Adaptable Debido a Resección Intestinal Masiva por Isquemia Mesentérica Aguda

Abstract

Massive intestinal resection for intestinal ischemia is the most common cause of anatomic short bowel. The approach of these cases has changed in our service, currently practicing individualized patient management, achieving therapies such as home parenteral nutrition. The clinical condition of the patient, age, residual bowel length and the possibility of enteral or parenteral
nutritional intervention may infl uence clinical outcomes and mortality.

We describe the case of a young adult female patient who developed intestinal ischemia probably associated to heart failure and thrombophilia, who received surgical, nutritional and intensive treatment in a timely manner; however she developed bacterial and fungal infection of the central venous catheter, ultimately causing her death.

We believe that implementing programs to prevent and control infections could change early and late morbidity and mortality in patients with anatomical short bowel after massive intestinal resection.