Clinical Outcome of Patients Submitted to Resection of the Small Bowel Segments

Marina GF Lopes, Thaís C Duarte, Janser M Pereira, Lorena A Freitas and Daurea A De- Souza

Faculty of Medicine, Federal University of Uberlândia, Brazil
Postgraduate Program in Health Sciences, Federal University of Uberlândia, Brazil
Faculty of Mathematics, Federal University of Uberlândia, Brazil
First co-authors of this article

^*Correspondance to: Daurea A De-Souza 

 PDF  Full Text DOI: 10.25107/2474-1647.2061

Abstract

Background: Segments of the digestive tract have specificities of nutrient absorption. The objective of this study was to identify factors related to the prognosis of patients submitted to bowel resections at a university hospital.Materials and
Methods: A cross sectional, retrospective study, using a specific semi-structured form. An analysis was made of 169 patients records all submitted to bowel resection during the period of August/2007 to July/2013. To perform data analysis, the patients were grouped according to their clinical evolution (hospital discharge/death).Results: Longer length of hospital stay and age over 60 years old were associated with a higher mortality rate. Among patients submitted to single (n=148) or multiple (n=21) enterectomy, the mortality rate was 33.8% (n=50 deaths) and 52.4% (n=11 deaths), respectively. Hospital discharge was more common among patients undergoing a single enterectomy (p=0.143). Among patients submitted to single bowel resection, non-description of resected bowel segments increased the mortality rate (p=0.002). Remaining small intestine description was performed for 14 patients, and 11 of these patients met the diagnosis criteria for short bowel syndrome (SBS) (78.6%). SBS patients had a 90.9% mortality rate. For most enterectomized patients, no nutritional status assessment was performed (n=103, 60.9%). Patients classified as malnourished (n=19; 52.8%) had a higher mortality rate (p=0.032).Conclusion: The lack of description of the resected and/or remaining intestinal segments, as well as the non-evaluation of the nutritional status, contributed to the higher mortality rate of patients submitted to resection of bowel segments.

Keywords

Bowel resection; Bowel segments; Short bowel syndrome; Clinical outcome; Malnutrition; Mortality rate

Cite the article

Lopes MGF, Duarte TC, Pereira JM, Freitas LA, De-Souza DA. Clinical Outcome of Patients Submitted to Resection of the Small Bowel Segments. Clin Surg. 2018; 3: 2061; 1-7.