Outcomes of Patients after Small Bowel Resection due to Superior Mesenteric Artery Occlusion

Abstract

Small bowel resection is associated with major and minor complications. Short bowel syndrome (SBS) is a common consequence of small-bowel resection that is associated with severe malabsorption, malnutrition, imbalance of water electrolytes, and metabolic disorder. The aim of this study is to evaluate post operative complication after small bowel resection as a result of superior mesentric artery occlusion. A retrospective trial on 25 patients with mall bowel resection due to of superior mesentric artery occlusion aged 18 - 70 years old was performed. All patients were subjected to clinical examination (HR, BP), laboratory investigations (CBC, liver function, renal function, albumin and bilirubin, INR, PT, PTT, and electrolyte levels) and radiological assessment according to urgency to surgical intervention. Regarding operation outcomes of the studied patients, 14(56%) patients had diarrhea, 24(96%) patients had pain, 4 (16%) patients had sepsis, 9 (36%) patients suffered weight loss, 7(28%) patients had hypokalemia, 6(24%) patients had hypoproteinaemia, 3 (12%) patients had wound infection, and 6 (24%) patients died. Small bowel resection is associated with minor and major complications so resection should be restricted of obvious gangrenous bowel. although Midgut resection due to complete superior mesentric artery occlusion results in intestinal failure reaction is still justifiable.