Table 1.
Laboratory test- short bowel syndrome (SBS).
| CBC | Post-operation I | Pre-operation II | Post-operation III | 1-day | 2-day | 3-day | 8-day | 12-day | 15-day | 19-day | 21- day |
Normal values |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WBC | 25,34 × 103 | 30,12 × 103 | 19,48 | 12,85 | 10,23 | 15,23 | 17,21 | − | − | – | – | 3.4–9.5 × 10(9)/L |
| RBC | 3,25 × 106 | 3,56 × 106 | 3,48 × 106 | 3,38 | 3,78 | 3,95 | − | 1012 | – | – | 4.20–5.10 × 10(12)/L | |
| HGB | 10,8 | 10,1 | 10,5 | 10,3 | 9,8 | 11,5 | 11,1 | 11,4 | 9,5 | 9,7 | 11,4 | 12.0–14.0 g/dL |
| HCT | 32,4 | 30,9 | 31,5 | 30,9 | 28,6 | 33,5 | 32,7 | 33,1 | 26,4 | – | 33,1 | 35.8–42.4% |
| PLT | 6,89,000 | 9,00,000 | 6,57,000 | 6,23,000 | 524,000 | 5,38,000 | 5,40,000 | − | – | – | – | 150–450 × 10(9)/L |
| Neut% | 91,2 | 83,9 | 91,7 | 84,1 | 84,2 | – | 44,4 | − | – | – | – | 1.50–8.50 × 10(9)/L |
| Lymph% | 4,2 | 4,9 | 4,3 | 4,5 | 4,3 | – | 57 | 62 | – | – | – | 1.50–6.50 × 10(9)/L |
| Mono% | 1,9 | 1,8 | 1,6 | 1,5 | 1,4 | – | 2,6 | − | – | – | – | 0.00–0.80 × 10(9)/L |
| Eo% | 0,3 | 0,2 | 0,1 | 0,1 | 0,3 | – | 0,1 | − | – | – | – | 0.00–0.65 × 10(9)/L |
| Cl | 113 | 112 | 112 | 114 | 113 | – | 111 | 112 | – | – | 112 | 98–106 mmol/L |
| ESR | 90 | 100 | 80 | 84 | 80 | 75 | 100 | 70 | 65 | 40 | 30 | 3 to 13 mm/h |
| Creatinine | 210 | 190 | 141 | 1,2 | <0,10 | 8 | 6 | 4 | N | 1,21 | <0,10 | 0.0–0.7 mg/dL |
| Uric acid | 2,0 | 2,2 | 2,1 | 2,0 | 2,0 | 2,2 | 2,1 | 2,2 | N | 2,3 | 2,2 | 2.4–6.0 mg/dL |
| Urea | 9.0 | 10,45 | 12,33 | 11,4 | 10.9 | 9,3 | 9,77 | 8,3 | N | 9.65 | 7,49 | 7 to 20 mg/dL (2.5–7.1 mmol/L) |
| Amylase | – | – | – | – | – | 293 | 196 | – | 78 | 58 | 54 | 0–137 U/L |
| Lipase | – | – | – | – | – | 156 | 83 | – | – | – | – | 12–70 U/L |
| ALT | 45 | 58 | 108 | 99 | N | 200 | 42 | 58 | 41 | 60 | 58 | 7 to 56 units per liter |
| AST | 36 | 39 | 43 | 41 | N | 52 | N | N | 56 | 45 | 10 to 40 units per liter | |
| Blood sugar | 92 | 89 | 130 | 110 | 116 | 120 | 123 | 98 | 134 | 127 | 90 | 100–125 mg/dL |
| Ferritin | – | 58 | 314 | – | – | – | – | 58 | 27 | – | 58 | 11 to 307 nanograms per milliliter |
| Transferrin saturation | – | 15 | – | – | – | – | – | 15 | 12 | – | 15 | 15%–45% |
| GGT | 98 | 87 | 79 | 84 | N | 80 | 112 | 109 | 67 | 60 | 52− | 0–45 U/L |
| PCR | 58 | 65 | 1,83,83 | 150 | 86,6 | 120 | N | 3 | 3,2 | 0,5 | 2,4 | <15 IU/mL |
| PCT | 0,74 | 0,32 | 9,43 | 4,77 | – | – | – | – | – | – | – | <0.15 ng/mL |
| Serum protein | 54 | 60 | 22 | 4,5 | 1,66 | N | N | 6 | 2,3 | 2,5 | 1,9 | 64–83 g per liter (g/L) |
| Sideremia | 24 | 53 | 1,3 | 30 | 29 | 65 | 32 | 40 | 44 | 42 | 56 | 60–180 microg/dl |
| Cholesterol | – | – | – | – | 15 | – | N | – | – | – | – | <200 mg/dl |
| Triglycerides | – | – | – | – | 56 | – | N | – | – | – | – | <150 mg/dl |
| Thyroid values | N | N | – | – | – | – | N | – | – | – | – | TSH = 0,4–4,5 TT4 = 50–160 FT4 = 10–24 FT3 = 4–8.3 |
| Urine test | – | – | – | – | N | – | – | – | – | negative | ||
| Urine specific gravity | 1013 | 1010 | 1010 | – | 1013 | – | – | – | – | – | – | 1.005–1.030 |
| Leukocyte | – | – | + | – | 20 | – | – | – | – | – | – | negative |
| Ph | 5,6 | 6 | 5 | – | – | – | – | – | – | – | – | 4.5–8 |
| RBC (erythrocyte) | – | – | – | – | 5280/microl | – | – | – | – | – | – | ≤2 RBCs/hpf |
| Protein | – | – | – | – | +++ | + | – | – | + | – | – | ≤150 mg/d |
| Stool test | – | Pseudomonas aeruginosa | – | – | Klebsiella pn. +++ Pseudomonas ae.+ | – | N | N | E.Coli+++ Klebsiella oxytoca+++ Enterococcus sp.+++ |
Salmonella | – | |
| Calprotectin | – | – | – | – | – | <100 | – | – | Negative | – | <50 | |
| Occult bleeding | – | – | – | – | – | – | – | + | – | + | – | Negative |
| Abdominal R-ray with barium | – | – | – | – | – | O short stoma area stenosis | No pneumoperitoneum No air fluid levels, intestinal dilatation (4,7 cm)→ SBS/volvulus | – | – | – | – | – |
| CT | Free abdominal fluid in douglas pouch and between the intestinal loops; Air fluid levels and intestinal distention present. No pneumoperitoneum.. | – | – | – | – | – | – | – | – | – | – | – |
| Abdominal ultrasound | – | – | – | – | Subileus/Ileus with sufficient fluid between the intestinal loops. No intraabdominal abscess | – | – | – | – | – | – | – |
| Irigoscopy (Barium enema) | – | – | – | – | Retrograde transit within the transverse colon and the ilenum, anastomotic stenosis was excluded | – | No important area of intestinal stenosis | – | – | – | – | – |
| Soft tissue ultrasound/Doppler venous ultrasound of the neck and subclavian vein | – | – | – | – | – | – | Very well visualized jugular veins and without obstruction | – | – | – | – | – |
| Blood gas | – | – | – | |||||||||
| Ph | 7,24 | 7,32 | 7,30 | 7,41 | 7,32 | 7,31 | 7,36 | 7,24 | 7,35–7,45 | |||
| pCO2 | 46 | 38 | 45 | 47 | – | N | – | – | 38–42 mmHg | |||
| pO2 | 25 | 49 | 67 | 65 | – | N | – | – | 75–100 mmHg | |||
| Na | 140 | 133 | 136 | 133 | – | N | – | – | 135–144 mEq/L | |||
| K | 6,3 | 4,9 | 5,6 | 4,1 | – | N | – | – | 3.6–5.2 mEq/L | |||
| Cl+2 | – | – | – | 100 | – | N | – | – | 97–106 mEq/L | |||
| Mg+2 | – | – | – | 0,45 | – | N | – | – | 1.3–2.3 mg/dl | |||
| Phosphate | – | – | – | 2,75 | – | N | – | – | 3.2–5.7 mg/dl | |||
| Ca | 0,91 | 0,99 | 1,2 | 1,89 | 1,5 | N | – | – | 8.8–10.4 mg/dl | |||
| HCO3 | 19,7 | 18,5 | 19,7 | 15 | 18,5 | N | 18,5 | 14,7 | 21–28 mmol/l | |||
| BE | 7,7 | 6,4 | 5,8 | – | −6,4 | −6,7 | −3,6 | −12,7 | −2 to +2 mEq/L | |||
| LAC | 2,5 | 2,6 | 2,3 | – | – | N | – | N | 4.5 to 19.8 mg/dL (0.5–2.2 mmol/L) | |||
| HEM | 9,9 | – | – | – | – | N | – | – | 13.5 to 17.5 g/dl | |||
| D-dimer | – | 1,35 | – | – | – | – | – | 1,35 | 0,63 | – | 1,35 | 0–50 mg/L |
| APTT | – | 41,1 | – | – | – | – | – | 41,1 | 41,2 | – | 41,1 | 70 to 120 s. |
| Vitamin D3 | – | 25,2 | – | – | – | – | – | 25,2 | 28,5 | – | 25,2 | 30–60 ng/ml |
| Vitamin B12 | – | – | – | – | – | – | – | – | N | – | – | 200–900 picograms per milliliter (pg/mL). |