Surgical strategies in short bowel syndrome

• Published in: Pediatric Surgery International Vol. 33; no. 4; pp. 413 - 419
• Main Author: Höllwarth, Michael. E.
• Format: Journal Article Book Review
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.04.2017; Springer Nature B.V
• Subjects: Digestive System Surgical Procedures; Gastrointestinal Transit; Humans; Medicine; Medicine & Public Health; Pediatric Surgery; Pediatrics; Review Article; Short Bowel Syndrome - etiology; Short Bowel Syndrome - surgery; Surgery; Tissue Engineering; Tapering; Experimental mechanical lengthening; Tissue engineering; Intestinal valves; Intestinal lengthenig procedures; Bianchi's method; Reversed segments; Short bowel syndrome; Serial transverse enteroplasty (STEP); Colon interposition
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s00383-016-4043-6

Extensive loss of small bowel in all age groups has significant morbidity and mortality consequences. Despite the astonishing ability of the small bowel to compensate for an extensive loss, long-term parenteral nutrition and enteral nutrition, tailored to the need of the patients in relation to the missing intestinal regions is needed. Organ-preserving surgical intervention becomes necessary in patients with a very short intestinal transit time and in an other group of patients with impaired propulsive peristalsis. Intestinal transplantation is indicated in recurrent septical infections or if nearly all of the small bowel is missing. This review discusses indications and risks of the organ-preserving surgical therapies in children with short bowel syndrome.