A difficult abdominal case

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How about small bowel transplant? Dn
------Original Message------
From: Timothy Craig Hardcastle
Sender: trauma-list-bounces at trauma.org
To: Trauma & Critical Care mailing list
ReplyTo: Trauma & Critical Care mailing list
Sent: Jul 11, 2008 09:10
Subject: RE: A difficult abdominal case

Dr Khattar

A number of first-world countries offer long-term home TPN, however, I
do not know the life expectancy of the patients. Maybe one of our
learned first-world colleagues will answer that for you!

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of rm khattar
Sent: 11 July 2008 14:01
To: trauma-list at trauma.org
Subject: A difficult abdominal case

Although we did consider closing abdomen without resection,but ended up
doing resection of entire SB,Right colon,doing a end jejunostomy,and
closing the end of transverse colon and leaving it in the abdomen,he
rapidly recovered with normalization of renal and hepatic parameters,
and resumption of oral liquids,and movement of jejunostomy.He was put on
TPN.The probable cause is SMA thrombosis.
Dr Timothy,Where on earth life long home TPN is available and how much
one can live on such treatment ?  


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