Mesenterc infarction is very dramatic condition. I am certain that you have learned much from this case. The first issue that must be addressed is the etiology for the mesnteric infarction. Was there evidence for superior mesenteric artery occlusion by thrombus? Were the mesnteric veins thrombosed? Did the patient have risk factors for mesnteric ischemia e.g. hypercoagulable stae, diabetes mellitus?
Diarrhea is a common condition early-on postoperatively. Often the diarrhea will resolve. The patient's ability to maintain his nutrition by enteral means will depend on how much small bowel is left. I would attempt to feed him, initially using an isoosmotic elemental det. I would try to control his diarrhea using antidiarhheals such as Imodium/Lomotil or codeine. You must remeber that since his ileocecal valve was resected, your patient is at increased risk of small intestine bacterial overgrowth. If the diarrhea is a problem, after he has been fed for a while, consider a seven dat course of an antibiotic such as oral tetracycline. Also remember that he will requre vitamin B12 supplementation.
I can not explain why is blood glucose would fall, based on the information that you have provided.
Good luck with the care of your patient.
This material is provided for informational purposes only and should not be considered a formal medical evaluation.
keywords: mesenteric infarction