XXXX and @entity30 .

@entity1 @entity66 @entity31 @entity1578 @entity5277 @entity30 @entity1049
@entity1 with @entity30 are at high risk for recurrent disease and often undergo multiple operations. Our aims were to evaluate surgical management and outcome of @entity1 with @entity30 who develop @entity5277 ( @entity5277 ) and to identify factors leading to this complication. We reviewed the records of 170 adult @entity1 with @entity5277 evaluated over a 20-year period. Thirty (18%) had @entity30 . @entity5277 was defined as an intestinal remnant less than 180 cm with associated malabsorption. There were 20 @entity1 and 10 @entity1 ranging in age from 18 to 62 years. Eighteen (60%) presented initially with @entity66 , seven (23%) with @entity1049 , and five (17%) with small intestinal disease. The interval from initial diagnosis to development of @entity5277 ranged from 2 to 32 years, with 21 @entity1 (71%) having an interval greater than 15 years. The number of resections leading to @entity5277 varied from 2 to 12 with 24 @entity1 (80%) having four or fewer resections. Nineteen @entity1 (63%) had an ostomy. Small intestinal remnant length was less than 60 cm in 10 @entity1 , 60 to 120 cm in six @entity1 , and greater than 120 cm in 14 @entity1 . Only one @entity1 underwent stricturoplasty before developing @entity5277 . Five @entity1 were initially diagnosed as having @entity31 and underwent a pouch procedure, which was subsequently resected. Twenty @entity1 (67%) required parenteral nutrition. Three @entity1 have undergone reversed intestinal segment to slow intestinal transit. Two @entity1 underwent intestinal transplantation. Two @entity1 have died: one from parenteral nutrition-related @entity1578 and the other after intestinal transplantation. @entity30 remains a common cause of @entity5277 . Aggressive resectional therapy, surgical complications, and errors in initial diagnosis contribute to development of @entity5277 in these @entity1 . Selected @entity1 are candidates for surgical therapy for @entity5277 .
