MASSIVE RESECTION FOR ILEITIS

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Abstract
Surgical treatment of disease of the ileum sometimes involves removal of adjacent segments of jejunum and colon so extensive as to jeopardize the patient's postoperative nutritional balance. In the cases here reported two patients were studied 12 years after unusually extensive intestinal resections. One weighs 158 lb. (71.7 kg.) and is working full time although he lacks parts of the sigmoid and descending colon, the right half of the transverse colon, all of the ascending colon with cecum, all of the ileum, and all but about 60 cm. of the jejunum. The other retains about 45 cm. of jejunum and lacks the ileum, ascending colon with cecum, and half of the transverse colon; he weighs 142 lb. (64.4 kg.) and works as a truck driver. Both men compensate for poor water-absorption by a large daily intake of beverages and liquid foods, but they tolerate carbohydrates, proteins, and fats equally well. Their dietary habits and nutritional status show that they have made good adjustments to their handicap.

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