PMID: 8590147Oct 1, 1995Paper

Adult patients with a short bowel due to Crohn's disease often start with a short normal bowel

European Journal of Gastroenterology & Hepatology
J M Nightingale, J E Lennard-Jones

Abstract

The normal adult human small intestinal length, measured surgically or at autopsy from the duodeno-jejunal flexure, ranges from 275 to 850 cm. The length is generally shorter in women than in men. Patients with a short bowel have often had relatively little bowel resected and the majority of patients are women. We aimed to determine whether patients with a short bowel had a short small intestinal length before any resections. In 11 patients (six men and five women) with Crohn's disease and less than 200 cm residual small intestine, both the residual length of small intestine and the amount resected were measured. Patients had a median of four resections (range 1-5). The median length of small bowel resected was 120 cm (range 60-165 cm) and the medium length of small bowel remaining was 125 cm (range 90-185 cm). Thus, the calculated median original small intestinal length was 240 cm (range 205-315 cm). Although there may have been some bowel shortening as a result of Crohn's disease, the original small intestinal length before any resections was short. It is therefore more important, after performing a bowel resection, to measure the remaining than the resected bowel length. Patients with Crohn's disease and a short bowel may ha...Continue Reading

Citations

Dec 17, 2011·Surgery Today·Motoi UchinoNaohiro Tomita
Jun 22, 2002·Gut·A C J Windsor
Jan 11, 2013·Journal of Gastroenterology and Hepatology·Richard B GearryJeremy M Nightingale
Sep 1, 2004·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T ShatariM R B Keighley
May 12, 1998·The American Journal of Gastroenterology·D S PardiJ T McCarthy
Aug 8, 2008·Current Opinion in Organ Transplantation·Jonathan P Fryer
Feb 7, 2014·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·A S SoinKareem M Abu Elmagd
Jan 31, 2002·World Journal of Gastroenterology : WJG·J M Nightingale
Dec 22, 1999·Medizinische Klinik·M SilomonG Molter
Feb 26, 2021·International Journal of Colorectal Disease·Mathilde AubertYves Panis
Jul 28, 1999·Nutrition·J M Nightingale

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