Surgical options to enhance intestinal function in patients with short bowel syndrome

Josh Sommovilla, Brad W. Warner

Research output: Contribution to journalReview article

9 Scopus citations

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). 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. 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 patientÊs 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.

Original languageEnglish
Pages (from-to)350-355
Number of pages6
JournalCurrent opinion in pediatrics
Volume26
Issue number3
DOIs
StatePublished - Jun 2014

Keywords

  • Colon interposition
  • intestinal adaptation
  • intestinal failure
  • intestinal lengthening
  • intestinal valve
  • pediatric
  • short bowel syndrome
  • surgery

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