Irene Conejo, Núria Mas-Malagarriga, Pau Riera, Joana Cardenete, Rocío Puig-Piña, Manuel Rodríguez Blanco, Jan T. De Pourcq
Número de descargas:
1590
Número de visitas:
1812
Compártelo:
Introduction: teduglutide (TED) is indicated for the treatment of patients with short-bowel syndrome (SBS) who are dependent on parenteral support. Case report: we report the case of a 60-year-old woman with SBS treated with TED. She had previously undergone multiple surgical resections due to Crohn’s disease. Her remnant bowel included only the duodenum and 50-60 centimeters of jejunum. The patient was dependent on intravenous fluids (2,320 mL/48 h) and had a high stoma output (3,000 mL/day). After four months of TED the jejunostomy output had decreased to 2,200 mL/day with a thicker consistency, and intravenous fluid therapy was reduced to 2,010 mL/48 h. TED was withdrawn due to acute pancreatitis and enlargement of two supraumbilical hernias with high strangulation risk. Discussion: pancreatitis has been reported in clinical studies, and determination of amylase and lipase is recommended in all patients receiving TED. In contrast, there are no recommendations for the surveillance of hernia enlargement in patients on TED therapy, but we suggest the need for surveillance based on this case report.
Palabras Clave: Teduglutide. Short bowel syndrome. Pancreatitis. Hernia enlargement. Case report
Rosa Burgos Peláez , Cristina de la Cuerda Compés , Pedro P. García-luna , Ceferino Martínez Faedo , Sílvia Mauri Roca , José Manuel Moreno Villares , M. Nuria Virgili Casas , Carmina Wanden-berghe
Marta Vales Montero , Beatriz Chavarría Cano , María Luisa Martínez Ginés , Fernando Díaz Otero , José Miguel Velázquez Pérez , Cristina de la Cuerda Compés , Irene Bretón
Miguel Aganzo Yeves , Bogdana Luiza Luca , Ana Herrero Heras
Andreu Simó Servat , Rafael López Urdiales , Alejandra Planas-Vilaseca , Paula García-Sancho de la Jordana , Mónica Fernández Álvarez , Elisabet Leiva Baldosa , María B. Badia Tahull , Nuria Virgili Casas
Adela Leyre Martínez Martínez , Laura A. Calles Romero , Eider Etxeberría Martín , Oihana Monasterio Jiménez , Miguel Paja Fano , Andoni Monzón Mendiolea , Aida Cadenas González , José Luis Cabriada Nuno , Natalia Covadonga Iglesias Hernández
Ayşegül Bükülmez , Lütfi Molon
Francisco J. Vílchez-López , Laura Larrán-Escandón , José M. García Almeida , Carmen Arraiza Irigoyen , José A. Irles-Rocamora , María J. Molina-Puerta , Juan B. Molina Soria , José Luis Pereira Cunill , Juana M. Rabat Restrepo , María Isabel Rebollo Pérez , María P. Serrano Aguayo , Carmen Tenorio-Jiménez , Gabriel Olveira Fuster , Pedro P. García Luna
Background: overweight and obesity have been incre...
Objetivo: el presente estudio tiene como objetivo...