A difficult abdominal case

[Nicholas Macartney]

My wife's hospital has several children on long term TPN. They live  
several years. Gut transplant can be done, but to quote one of her  
colleagues - it is not advertised as the results are not good.

Nick Macartney
On 11 Jul 2008, at 18:26, rwolfer at aol.com wrote:

> we had a case about a year ago. A 40ish lady with a hypercoagulable  
> state that quit her coumadin. She clotted off entire SMA
> lived for about a month or two on TPN, we even sent her home for a  
> week or so. Died of line sepsis. I do not think that the long term  
> survival on TPN is very good
> W
>
> -----Original Message-----
> From: khumar huseynova <khumarhuse at yahoo.ca>
> To: Trauma Trauma <trauma-list at trauma.org>
> Sent: Thu, 10 Jul 2008 7:39 pm
> Subject: Re: A difficult abdominal case
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> We had a 70-something old lady transferred from another facility to  
> us couple of
> weeks ago with similar situation. Her Dx was delayed too. We took  
> her to OR,
> resected almost her entire SB with the exception of a portion of  
> prox jej which
> also looked dusky but not dead, stapled off the 2 ends, put her on  
> TPN in ICU.
> Took her back to OR for 2nd look 2 days later, had to resect some  
> more of jej,
> anastomosed the 2 ends, back to ICU. She lived for 2-3 weeks  
> afterwards.
> ?
> What did u end up doing? He is young although outcome is dismal to  
> say the
> least... What was the primary cause?
> ?
> K
>
>
> Ask a question on any topic and get answers from real people. Go to  
> Yahoo!
> Answers.
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