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Surgical options to enhance intestinal function in patients with short bowel syndrome.
- Source :
-
Current opinion in pediatrics [Curr Opin Pediatr] 2014 Jun; Vol. 26 (3), pp. 350-5. - Publication Year :
- 2014
-
Abstract
- Purpose of Review: This review will provide the practitioner with an understanding of the spectrum of nontransplant surgical options for managing patients with short bowel syndrome (SBS).<br />Recent Findings: Intestinal lengthening procedures are a promising therapy to allow autonomy from parenteral nutrition. The recently described serial transverse enteroplasty is an effective procedure that is easier to perform and has similar outcomes to the more standard longitudinal lengthening procedure described by Bianchi.<br />Summary: There are several surgical options for management of the SBS, including construction of intestinal valves or reversed intestinal segments, interposition of segments of colon, or intestinal lengthening procedures. The choice of technique is dictated by the patient's underlying pathophysiology and includes such factors as intestinal transit time, length of remnant bowel, presence of intact colon, and degree of small bowel dilation. Nontransplant surgical interventions are important adjuncts to the elimination of parenteral nutrition dependence and need for intestinal transplantation.<br />Competing Interests: The authors have no financial or other conflicts of interest to disclose.
- Subjects :
- Child
Child, Preschool
Gastrointestinal Transit
Humans
Intestine, Small physiopathology
Quality of Life
Recovery of Function
Short Bowel Syndrome mortality
Short Bowel Syndrome physiopathology
Survival Rate
Time Factors
Treatment Outcome
Digestive System Surgical Procedures methods
Intestine, Small surgery
Parenteral Nutrition statistics & numerical data
Preoperative Care methods
Short Bowel Syndrome surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1531-698X
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Current opinion in pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 24759225
- Full Text :
- https://doi.org/10.1097/MOP.0000000000000103