SYNOPSIS Biochemical, haematological, and radiological investigations are reported in a young child in whom nearly 80% of the small intestine was resected. The prognosis in a child after such extensive resection is probably better than in an adult, as natural growth can still occur with the expectation of greater adaptability as well as of increased length of the remaining segments.The supreme role of the small intestine in digestion and absorption makes it an indispensable organ. Elaboration of the functions of its several parts is of considerable importance because of its involvement at different levels by a variety of diseases and anatomical lesions. Although special techniques (Borgstrom, Dahlqvist, Lundh, and Sjovall, 1957;Blomstrand, 1958;Cox, Meynell, Cooke, and Gaddie, 1958; Booth and Mollin, 1959) (Fig. 1). He was at that time a bright, underweight child with a protuberant abdomen. His diet was similar to that of a 6-month-old infant, and it was noted that milk feeds tended to pass through quickly. He was subject to attacks of prostration with episodes of vomiting and diarrhoea.It was at that stage, two months post-operatively, that our investigations began. His haemoglobin was 88 % (12-8 g.), red and white blood cell counts were normal, reticulocytes 0-6 %, and prothrombin time normal.