Managing fluid balance and nutritional status in a short bowel syndrome patient awaiting intestinal transplant: a case report

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发表日期：

2024年1月24日

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Zoi Bouloubasi,
Dimitrios Karayiannis,
Anna Papadopoulou,
Nikolaos Dimitrokallis,
Aggeliki Tsanasa,
Eleni Karveli,
Vasilios Vougas

摘要

Background

Despite being a long-term therapy for patients with short bowel syndrome (SBS), subcutaneous injections of teduglutide promote the regeneration of the gastrointestinal tract. Such cases are particularly concerning for patients with residual small bowel.

Methods

In this report, we present a case of an SBS patient with only 5 cm of remaining small bowel and a high-output duodenal stoma, who was treated with teduglutide.

Results

The initiation of teduglutide injections in our patient resulted in a reduction of stoma output, improvement in the patient’s nutritional status, regulation of fluid balance, and stabilization of their clinical condition.

Conclusions

This case suggests that subcutaneous injections of teduglutide, when combined with appropriate nutritional care, can effectively treat high-output stomas, even in cases where the small bowel is nearly absent.