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- W2132187057 abstract "Forty-three patients who had undergone resection of part of the small intestine have been followed at a combined medical and surgical outpatient clinic. Thirty-eight patients had Crohn's disease, and in eleven this was active at the time of the study. Some colon had also been resected in most patients.Codeine phosphate or Lomotil, and dietary fat restriction were effective in controlling diarrhoea in most of the patients, although none reached the desired target of 40 g of fat a day. Approximately one-half of the patients were at or above their ideal weight.Patients with active disease required more drug therapy than those without, but otherwise they were very similar. The mean haemoglobin and serum albumin levels were normal and did not differ sigdicantly from those without active disease. Only five patients were unable to work full-time because of illness.Six patients were found to have histological evidence of osteomalacia, one developed night blindness due to vitamin A deficiency, and vitamin K deficiency developed suddenly in one other patient. Megaloblastic anaemia due to folic acid deficiency occurred in one patient who had undergone resection of the jejunum.We conclude that the prognosis of patients following small bowel resection is good, even when resection has been extensive and active disease remains, provided that specific deficiencies are promptly diagnosed and treated. The length of small intestine remaining after resection seems to be unimportant in determining prognosis." @default.
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- W2132187057 date "1977-10-01" @default.
- W2132187057 modified "2023-10-14" @default.
- W2132187057 title "The Consequences of Small Intestinal Resection" @default.
- W2132187057 doi "https://doi.org/10.1093/oxfordjournals.qjmed.a067520" @default.
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