Abstract
Previous studies have indicated that the interposition of a short reversed small bowel segment after massive small bowel resection in dogs will prolong transit time and maintain better nutritional status. 1-5 Using triolein 1131, Singleton et al 3 found that fat absorption rose temporarily after interposition of a nine- to ten-inch reversed segment of ileum, but was unable to explain why the animals became cachectic and died after a three- to four-month period, with a gradual decrease of absorption levels. Stahlgren et al 5 found that losses of water, fat, and nitrogen were decreased by the effects of a short antiperistaltic segment. Recently, Gibson et al 6 reported the successful use of a short reversed small bowel segment in an 80-year-old female patient who underwent resection of more than 90% of the intestine for occlusion of the superior mesenteric artery with gangrene of the bowel. The present study of fat
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