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Clinical problems of a short bowel and their treatment

Published online by Cambridge University Press:  28 February 2007

Jeremy M. D. Nightingale*
Affiliation:
Department of Gastroenterology, St Mark's Hospital, City Road, London EC1V 2PS
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Abstract

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Type
The Sir David Cuthbertson Medal Lecture
Copyright
Copyright © The Nutrition Society 1994

References

Adrian, T. E., Ferri, G.-L., Bacarese-Hamilton, A. J., Fuessl, H. S., Polak, J. M. & Bloom, S. R. (1985). Human distribution and release of a putative new gut hormone, peptide YY. Gastroenterology 89, 10701077.CrossRefGoogle ScholarPubMed
Allen, J. M., Fitzpatrick, M. L., Yeats, J. C., Darcy, K., Adrian, T. E. & Bloom, S. R. (1984). Effect of peptide YY and neuropeptide Y on gastric emptying in man. Digestion 30, 255262.Google Scholar
Ammon, H. V. & Phillips, S. F. (1973). Inhibition of colonic water and electrolyte absorption by fatty acids in man. Gastroenterology 65, 744749.Google Scholar
Andersson, H. & Jagenburg, R. (1974). Fat-reduced diet in the treatment of hyperoxaluria in patients with ileopathy. Gut 15, 360366.Google Scholar
Avery, M. E. & Snyder, J. D. (1990). Oral therapy for acute diarrhoea. The underused simple solution. New England Journal of Medicine 323, 891894.Google Scholar
Backman, L. & Hallberg, D. (1974). Small-intestine length. An intraoperative study in obesity. Acta Chirurgica Scandinavica 140, 5763.Google Scholar
Barilla, D. E., Notz, C., Kennedy, D. & Pak, C. Y. C. (1978). Renal oxalate excretion following oral oxalate loads in patients with ileal disease and with renal and absorptive hypercalciurias. Effect of calcium and magnesium. American Journal of Medicine 64, 579585.Google Scholar
Booth, C. C. (1961). The metabolic effects of intestinal resection in man. Postgraduate Medical Journal 37, 725739.Google Scholar
Borgstrom, B., Dahlqvist, A., Lundh, G. & Sjovall, J. (1957). Studies of intestinal digestion and absorption in the human. Journal of Clinical Investigation 36, 15211536.Google Scholar
Bryant, J. (1924). Observations upon the growth and length of the human intestine. American Journal of the Medical Sciences 167, 499520.Google Scholar
Buxton, B. (1974). Small bowel resection and gastric acid hypersecretion. Gut 15, 229238.Google Scholar
Chadwick, V. S., Modha, K. & Dowling, R. H. (1973). Mechanism for hyperoxaluria in patients with ileal dysfunction. New England Journal of Medicine 289, 172176.Google Scholar
Debongnie, J. C. & Phillips, S. F. (1978). Capacity of the colon to absorb fluid. Gastroenterology 74, 698703.CrossRefGoogle ScholarPubMed
Dobbins, J. W. & Binder, H. J. (1976). Effect of bile salts and fatty acids on the colonic absorption of oxalate. Gastroenterology 70, 10961100.Google Scholar
Dobbins, J. W. & Binder, H. J. (1977). Importance of the colon in enteric hyperoxaluria. New England Journal of Medicine 296, 298301.Google Scholar
Doty, J. E., Pitt, H. A., Porter-Fink, V. & Denbesten, L. (1985). Cholecystokinin prophylaxis of parenteral nutrition-induced gallbladder disease. Annals of Surgery 201, 7680.Google Scholar
Dowling, R. H. & Booth, C. C. (1966). Functional compensation after small bowel resection in man: demonstration by direct measurement. Lancet 2, 146147.Google Scholar
Earnest, D. L., Johnson, G., Williams, H. E. & Admirand, W. H. (1974). Hyperoxaluria in patients with ileal resection: an abnormality in dietary oxalate absorption. Gastroenterology 66, 11141122.CrossRefGoogle ScholarPubMed
Editorial (1990). The colon, the rumen, and D-lactic acidosis, Lancet 336, 599600.Google Scholar
Fanucci, A., Cerro, P., Fraracci, L. & Ietto, F. (1984). Small-bowel length measured by radiology. Gastrointestinal Radiology 9, 349351.Google Scholar
Fich, A., Steadman, C. J., Phillips, S. F., Camilleri, M., Brown, M. L., Haddad, A. C. & Thomforde, G. M. (1992). Ileocolonic transit does not change after right hemicolectomy. Gastroenterology 103, 794799.Google Scholar
Flint, J. M. (1912). The effect of extensive resections of the small intestine. Bulletin of Johns Hopkins Hospital 23, 127144.Google Scholar
Fordtran, J. S. & Locklear, T. W. (1966). Ionic constituents and osmolality of gastric and small-intestinal fluids after eating. American Journal of Digestive Diseases 11, 503521.Google Scholar
Haymond, H. E. (1935). Massive resection of the small intestine. An analysis of 257 collected cases. Surgery, Gynecology and Obstetrics 61, 693705.Google Scholar
Heaton, K. W. & Read, A. E. (1969). Gallstones in patients with disorders of the terminal ileum and disturbed bile salt metabolism. British Medical Journal 3, 494496.Google Scholar
Hirsch, J., Ahrens, E. H. & Blankenhorn, D. H. (1956). Measurement of the human intestinal length in vivo and some causes of variation. Gastroenterology 31, 274284.Google Scholar
Jacobsen, O., Ladefoged, K., Stage, J. G. & Jarnum, S. (1986). Effects of cimetidine on jejunostomy effluents in patients with severe short-bowel syndrome. Scandinavian Journal of Gastroenterology 21, 824828.Google Scholar
Knapp, H. R. & Melly, M. A. (1986). Bactericidal effects of polyunsaturated fatty acids. Journal of Infectious Diseases 154, 8494.Google Scholar
Ladefoged, K. & Olgaard, K. (1979). Fluid and electroyte absorption and renin–angiotensin–aldosterone axis in patients with severe short-bowel syndrome. Gastroenterology 14, 729735.Google Scholar
Lee, S. P., Nicholls, J. F. & Park, H. Z. (1992). Biliary sludge as a cause of acute pancreatitis. New England Journal of Medicine 326, 589593.Google Scholar
Lindsjo, M., Ljunghall, S., Fellstrom, B., Wikstrom, B. & Danielson, B. F. (1989). Treatment of enteric hyperoxaluria with calcium-containing organic marine hydrocolloid. Lancet 2, 701704.Google Scholar
McIntyre, P. B., Fitchew, M. & Lennard-Jones, J. E. (1986). Patients with a high jejunostomy do not need a special diet. Gastroenterology 91, 2533.Google Scholar
Mather, S. J., Ellison, D., Nightingale, J. M. D., Kamm, M. A. & Britton, K. E. (1991). The design of a two-phase radio-labelled meal for gastric emptying studies. Nuclear Medicine Communications 12, 409416.Google Scholar
Mayne, A. J., Handy, D. J., Preece, M. A., George, R. H. & Booth, I. W. (1990). Dietary management of D-lactic acidosis in short-bowel syndrome. Archives of Disease in Childhood 65, 229231.Google Scholar
Messing, B., Pigot, F., Rongier, M., Morin, M. C., Mdeindoum, U. & Rambaud, J. C. (1991). Intestinal absorption of free oral hyperalimentation in the very-short-bowel syndrome. Gastroenterology 100, 15021508.Google Scholar
Newton, C. R., Gonvers, J. J., McIntyre, P. B., Preston, D. M. & Lennard-Jones, J. E. (1985). Effect of different drinks on fluid and electrolyte losses from a jejunostomy. Journal of the Royal Society of Medicine 78, 2734.Google Scholar
Nightingale, J. M. D. (1993). Physiological consequences of major small intestinal resection in man and their treatment. MD Thesis, University of London.Google Scholar
Nightingale, J. M. D., Bartram, C. I. & Lennard-Jones, J. E. (1991 a). Length of residual small bowel after partial resection: correlation between radiographic and surgical measurements. Gastrointestinal Radiology 16, 305306.Google Scholar
Nightingale, J. M. D., Lennard-Jones, J. E., Gertner, D. J., Wood, S. R. & Bartram, C. I. (1992 a). Colonic preservation reduces the need for parenteral therapy, increases the incidence of renal stones but does not change the high prevalence of gallstones in patients with a short bowel. Gut 33, 14931497.Google Scholar
Nightingale, J. M. D., Lennard-Jones, J. E., Walker, E. R. & Farthing, M. J. G. (1990). Jejunal efflux in short-bowel syndrome. Lancet 336, 765768.Google Scholar
Nightingale, J. M. D., Lennard-Jones, J. E., Walker, E. R. & Farthing, M. J. G. (1992 b). Oral salt supplements to compensate for jejunostomy losses. Comparison of sodium chloride capsules, glucose–electrolyte solution and glucose-polymer–electrolyte solution (Maxijul). Gut 33, 759761.Google Scholar
Nightingale, J. M. D., van der Sijp, J. R. M., Kamm, M. A., Walker, E. R., Lennard-Jones, J. E., Ghatei, M. A. & Bloom, S. R. (1992 c). Gastrointestinal hormones in short-bowel syndrome. PYY is the ‘colonic brake’ to gastric emptying. Gastroenterology 102, A230.Google Scholar
Nightingale, J. M. D., van der Sijp, J. R. M., Kamm, M. A., Walker, E. R., Mather, S. J., Britton, K. E., Akkermans, L. M. A. & Lennard-Jones, J. E. (1993). Disturbed gastric emptying in the short-bowel syndrome. Evidence for a ‘colonic brake’. Gut 34, 11711176.Google Scholar
Nightingale, J. M. D., Walker, E. R., Burnham, W. R., Farthing, M. J. G. & Lennard-Jones, J. E. (1989). Octreotide (a somatostatin analogue) improves the quality of life in some patients with a short intestine. Alimentary Pharmacology and Therapeutics 3, 367373.Google Scholar
Nightingale, J. M. D., Walker, E. R., Farthing, M. J. G. & Lennard-Jones, J. E. (1991 b). Effect of Omeprazole on intestinal output in the short-bowel syndrome. Alimentary Pharmacology and Therapeutics 5, 405412.Google Scholar
Nordgaard, I., Hansen, B. S. & Mortensen, P. B. (1994). Colon as a digestive organ in patients with short bowel. Lancet 343, 373376.Google Scholar
O'Keefe, S. J. D., Shorter, R. G., Bennet, W. M. & Haymond, M. W. (1992). Villous hyperplasia is uncommon in patients with massive intestinal resection. Gastroenterology 102, A231.Google Scholar
Phillips, S. F. & Giller, J. (1973). The contribution of the colon to electrolyte and water conservation in man. Journal of Laboratory and Clinical Medicine 81, 733746.Google Scholar
Phillips, S. F., Quigley, E. M. M., Kumar, D. & Kamath, P. S. (1988). Motility of the ileocolonic junction. Gut 29, 390406.Google Scholar
Pitt, H. A., Lewinski, M. A., Muller, E. L., Porter-Fink, V. & DenBesten, L. (1984). Ileal resection-induced gallstones: altered bilirubin or cholesterol metabolism? Surgery 96, 154162.Google Scholar
Porus, R. L. (1965). Epithelial hyperplasia following massive small bowel resection in man. Gastroenterology 48, 753759.Google Scholar
Rodrigues, C. A., Lennard-Jones, J. E., Thompson, D. J. & Farthing, M. J. G. (1988). What is the ideal sodium concentration of oral rehydration solutions for short-bowel patients? Clinical Science 74, Suppl. 18, 69P.Google Scholar
Rodrigues, C. A., Lennard-Jones, J. E., Walker, E. R., Thompson, D. G. & Farthing, M. J. G. (1989). The effects of octreotide, soy polysaccharide, codeine and loperamide on nutrient, fluid and electrolyte absorption in the short-bowel syndrome. Alimentary Pharmacology and Therapeutics 3, 159169.CrossRefGoogle ScholarPubMed
Rokkas, T., Vaja, S., Murphy, G. M. & Dowling, R. H. (1990). Aminoguanidine blocks intestinal diamine oxidase (DAO) activity and enhances the intestinal adaptive response to resection in the rat. Digestion 46, Suppl. 2, 447457.Google Scholar
Ruppin, H., Bar-Meir, S., Soergel, K. H., Wood, C. M. & Schmitt, M. G. Jr (1980). Absorption of short-chain fatty acids by the colon. Gastroenterology 78, 15001507.Google Scholar
Savage, A. P., Adrian, T. E., Carolan, G., Chatterjee, V. K. & Bloom, S. R. (1987). Effects of peptide YY (PYY) on mouth to caecum intestinal transit time and on the rate of gastric emptying in healthy volunteers. Gut 28, 166170.Google Scholar
Selby, P. L., Peacock, M. & Bambach, C. P. (1984). Hypomagnesaemia after small-bowel resection: treatment with 1 alpha-hydroxylated vitamin D metabolites. British Journal of Surgery 71, 334337.Google Scholar
Simons, B. E. & Jordan, G. L. (1969). Massive bowel resection. American Journal of Surgery 118, 953959.Google Scholar
Slater, G. & Aufses, A. H. Jr (1991). Small-bowel length in Crohn's disease. American Journal of Gastroenterology 8, 10371040.Google Scholar
Smith, C. H., Fromm, H. & Hofmann, A. F. (1972). Acquired hyperoxaluria, nephrolithiasis and intestinal disease. New England Journal of Medicine 286, 13711375.Google Scholar
Spiller, R. C., Brown, M. L. & Phillips, S. F. (1986). Decreased fluid tolerance, accelerated transit, and abnormal motility of the human colon induced by oleic acid. Gastroenterology 91, 100107.Google Scholar
Spiller, R. C., Jones, B. J. M. & Silk, D. B. A. (1987). Jejunal water and electrolyte absorption from two proprietary enteral feeds in man: importance of sodium content. Gut 28, 681687.Google Scholar
Thompson, L., Edwards, R. E., Greenwood, D. & Spiller, R. C. (1990). Inhibitory effect of long chain fatty acids (LCFA's) on colonic bacteria. Gut 31, A1167.Google Scholar
Walker-Smith, J. A., Phillips, A. D., Walford, N., Gregory, H., Fitzgerald, J. D., MacCullagh, K. & Wright, N. A. (1985). Intravenous epidermal growth factor/urogastrone increases small-intestinal cell proliferation in congenital microvillous atrophy. Lancet 2, 12391240.Google Scholar
Weinstein, L. D., Shoemaker, C. P., Hersh, T. & Wright, H. K. (1969). Enhanced intestinal absorption after small-bowel resection in man. Archives of Surgery 99, 560562.Google Scholar
Widdowson, E. M. (1991). Sir David Cuthbertson. In The Nutrition Society 1941–1991. Presidents and Honorary Members: Their Stories and Recollections, pp. 4551. Wallingford, Oxon: C.A.B. International.Google Scholar
Windsor, C. W. O., Fejfar, J. & Woodward, D. A. K. (1969). Gastric secretion after massive small-bowel resection. Gut 10, 779786.Google Scholar