{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:38Z","timestamp":1787017058323,"version":"build-2736575974"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,3]]},"abstract":"<jats:p>A 41-year-old woman developed severe abdominal pain, distension and faeculent vomiting. CT of abdomen and pelvis revealed small bowel malrotation with a right paraduodenal hernia. At emergency laparotomy, a right paraduodenal hernia containing jejunum and ileum was identified. She had a viable duodenum with 50\u2005cm of ischaemic proximal jejunum which was exteriorised as an end jejunostomy; 180\u2005cm of infarcted jejunum and ileum was resected. The proximal end of 150\u2005cm of healthy ileum was exteriorised as a closed mucous fistula and 50\u2005cm distally a feeding ileostomy was constructed. On day 5 postoperatively, jejunal effluent began to be recycled via her feeding ileostomy and she never required parenteral nutrition. Despite having only 50\u2005cm of jejunum proximal to her stoma, recycling of effluent enabled her electrolytes to remain normal. She put on weight postoperatively and proceeded to closure of her stomas at 6\u2005months, not requiring laparotomy.<\/jats:p>","DOI":"10.1136\/bcr-2014-204394","type":"journal-article","created":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T07:18:24Z","timestamp":1401261504000},"page":"bcr2014204394","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Recycling of jejunal effluent to enable enteral nutrition in short bowel syndrome"],"prefix":"10.1136","volume":"2014","author":[{"given":"Stephen","family":"McCain","sequence":"first","affiliation":[{"name":"Ulster Hospital Dundonald, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"McCain","sequence":"additional","affiliation":[{"name":"Ulster Hospital Dundonald, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Harris","sequence":"additional","affiliation":[{"name":"Ulster Hospital Dundonald, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"McCallion","sequence":"additional","affiliation":[{"name":"Ulster Hospital Dundonald, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,5,28]]},"reference":[{"key":"2025082623271083000_2014.may28_1.bcr2014204394.1","first-page":"1218","article-title":"Paraduodenal hernia","volume":"64","author":"Khan","year":"1998","journal-title":"Am Surg"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0644"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.3","doi-asserted-by":"publisher","DOI":"10.1007\/s005350050164"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.4","doi-asserted-by":"publisher","DOI":"10.1177\/0148607196020004275"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.5","doi-asserted-by":"publisher","DOI":"10.1136\/gut.33.11.1493"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(69)90265-7"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.7","doi-asserted-by":"crossref","unstructured":"Nightingale J Woodward JM , on behalf of the Small Bowel and Nutrition Committee of the British Society of Gastroenterology. Guidelines for management of patients with a short bowel Gut. 2006;55 (Suppl 4):iv1\u201312.","DOI":"10.1136\/gut.2006.091108"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.8","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)93238-K"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.9","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/0016-5085(94)90162-7","article-title":"Long-acting somatostatin analogue therapy and protein metabolism in patients with jejunostomies","volume":"107","author":"O'Keefe","year":"1994","journal-title":"Gastroenterology"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.10","doi-asserted-by":"publisher","DOI":"10.1136\/gut.15.12.982"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(99)70223-4"},{"key":"2025082623271083000_2014.may28_1.bcr2014204394.12","doi-asserted-by":"publisher","DOI":"10.1080\/003655299750025769"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204394","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:27:20Z","timestamp":1756276040000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,28]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-204394"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204394","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,28]]}}}