{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:59:00Z","timestamp":1791464340475,"version":"4.3.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ultra-short bowel syndrome (USBS) is a rare and life-threatening condition defined by the retention of \u02c230\u00a0cm of small intestine following resection. We report the case of a 53-year-old male who presented with gangrenous gut secondary to superior mesenteric artery thrombosis, necessitating near-total small bowel resection. The patient was left with ~15\u00a0cm of proximal jejunum and 10\u00a0cm of distal ileum, with a jejuno-ileal end-to-end anastomosis. He developed severe postoperative watery diarrhoea and required Total Parenteral Nutrition (TPN) via a peripherally inserted central catheter line. With careful multidisciplinary management, the patient achieved intestinal adaptation and was weaned off TPN ~6\u00a0weeks postoperatively. This case highlights the challenges of managing USBS in a resource-limited setting and demonstrates that survival with gut adaptation is possible even with very limited residual small bowel length, provided that experienced surgical care and nutritional support are available.<\/jats:p>","DOI":"10.1093\/jscr\/rjag738","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:48:28Z","timestamp":1785930508000},"source":"Crossref","is-referenced-by-count":0,"title":["Ultra-short bowel syndrome after near-total small bowel resection for gangrenous gut due to superior mesenteric artery thrombosis: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Faran","family":"Hamid","sequence":"first","affiliation":[{"name":"Department of Surgery , University of Lahore, 1-Km Defence Road, Bhuptian Chowk, Lahore 54792,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Afsar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sheikh Zayed Hospital , Block D, New Muslim Town, Lahore 54600, Punjab ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afsar Ali","family":"Bhatti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Doctors Hospital Lahore , 152-G\/1, Canal Bank, Block G1, Phase 1, Johar Town, Lahore 54590 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Usman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Lahore Teaching Hospital Lahore , Defence Road, Bhuptian Chowk, Lahore 54792 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naila","family":"Yasmeen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Doctors Hospital Lahore , 152-G\/1, Canal Bank, Block G1, Phase 1, Johar Town, Lahore 54590 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5313-0451","authenticated-orcid":false,"given":"Dania","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Surgery, United Medical and Dental College , UMDC Road, Sector 48-H, Korangi Creek, Karachi 75190 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3128-5536","authenticated-orcid":false,"given":"Anas","family":"Nasir","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sheikh Zayed Medical College , Block D, New Muslim Town, Lahore 54600, Punjab ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Aslam","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Lahore , 1-Km Defence Road, Bhuptian Chowk, Lahore 54792 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fazeela","family":"Bibi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jinnah Medical and Dental College , 22-23 Shaheed-e-Millat Road, BMCHS Sharafabad, Karachi 74000 ,","place":["Pakistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5804-7896","authenticated-orcid":false,"given":"Mahshid","family":"Muhammadi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kabul University of Medical Sciences Abu Ali Ibn Sina , 3rd District, Kabul 1001 ,","place":["Afghanistan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"2026100808250215000_ref1","volume-title":"Clinical Anatomy: Applied Anatomy for Students and Junior 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Where are we today?","volume":"52","author":"DeLegge","year":"2007","journal-title":"Dig Dis Sci"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag738\/71717831\/rjag738.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag738\/71717831\/rjag738.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:25:14Z","timestamp":1791462314000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag738\/8885498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":7,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag738","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"rjag738"}}