Surgical Approach to Short-Bowel Syndrome

Current Surgical Options in Short Bowel Syndrome

The Surgical Approach to Short Bowel Syndrome – Autologous Reconstruction versus Transplantation

BACKGROUND Short bowel syndrome (SBS) is a state of malabsorption resulting from massive small bowel resection leading to parenteral nutrition (PN) dependency. Considerable advances have been achieved in the medical and surgical management of SBS over the last few decades. METHODS This review discusses in detail the surgical approach to SBS. RESULTS Widespread use of PN enables long-term su...

Short bowel syndrome.

With utilization of the techniques discussed in this review, patients with short bowel syndrome can be expected to live prolonged lives, even after fairly massive resection. Advances in parenteral and home parenteral nutrition and changes in the long-term management of chronic complications have altered the lifestyles of patients with short bowel syndrome. Intestinal transplantation may become ...

Neonatal short bowel syndrome.

Neonatal short bowel syndrome is a disease with a high morbidity and mortality. The management of these patients is complex and requires a multidisciplinary approach. Recent advances in medical and surgical treatment options have improved outcomes. The following review highlights salient points in the management of this challenging patient population.

Short Bowel Syndrome

Acute phase immediately after bowel resection. It is associated with malnutrition and fluid and electrolyte loss. Adaptation phase 2-4 days after bowel resection, histological changes result in improved absorption and may influence the amount of parenteral nutrition required. Maintenance phase the absorptive capacity of the bowel recovers to a greater or lesser extent. The degree of recovery wi...