Ｃｒｏｈｎ病の大量出血例に広範囲小腸切除を施行し，術後の短腸症候群を回避できた１例

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  • A CASE OF SHORT BOWEL SYNDROME RESULTED BY JEJUNOILEAL RESECTION FOR CROHN'S DISEASE WITH MASSIVE HEMORRHAGE

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A 65-year-old man was admitted with a history of blood stools. He presented with sudden onset of massive hemorrhage and developed shock. Gastroduodenoscopy, colonoscopy and angiography revealed no obvious bleeding points. For recurrent bleeding he was taken to surgery. Endoscopical examination in operation revealed changes characteristic of Crohn's disease from jejunum to ileum, 50cm proximal to the ileocecal valve, and then this portion was resected. Glutamine-enriched enteral nutrition led him to early weaning from total parenteral nutrition. Massive hemorrhage in Crohn's disease is rare. Those patients generally received operation and consequently develop short-bowel syndrome. As our experience, glutamine is one of the effective materials which can promote remnant intestinal adaptation in short bowel patients.

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