Caso clínico : soporte nutricional en paciente post quirúrgico por masa tumoral intestinal.

Abstract

Short bowel syndrome is defined as an excess small intestine measuring 180 to 200 centimeters, there is a clinically significant reduction in the intestinal surface, which can generate chronic intestinal failure causing nutrient malabsorption and micronutrient deficiencies. We present the case of a 48-year-old male patient with a personal pathological history of arterial hypertension diagnosed 5 years ago and a history of laparoscopic cholecystectomy 4 years ago. When performing biochemical examinations, they did not present new features, he was admitted due to a clinical picture of 8 days of evolution characterized by constipation, unquantified thermal rise accompanied by abdominal pain in the mesogastrium that intensifies. The patient underwent surgery performing an exploratory laparotomy with resection plus a 100 cm Treitz side anastomosis due to a tumor mass in the small intestine. To develop, we have decided to analyze the application of early enteral nutritional support as an intervention in cases of intestinal anastomosis or short bowel syndrome.