Short bowel syndrome surgery

Short bowel syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Short bowel syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Short bowel syndrome surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Short bowel syndrome surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Short bowel syndrome surgery
CDC on Short bowel syndrome surgery
Short bowel syndrome surgery in the news
Blogs on Short bowel syndrome surgery
Directions to Hospitals Treating Short bowel syndrome
Risk calculators and risk factors for Short bowel syndrome surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3].

Indications

• Surgery is not the first-line treatment option for patients with short bowel syndrome. Surgery is usually reserved for patients with either:
  • [Indication 1]
  • [Indication 2]
  • [Indication 3]
• Transplant is not the first-line surgical option for patients with short bowel syndrome. Transplant is usually reserved for patients with either:
  • Life-threatening complications of intestinal failure
  • Irreversible permanent total parenteral nutrition (TPN) requirement and episodes of sepsis
  • Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access

Surgery

• Approximately half of the patients with short bowel syndrome will require surgery. However, there is controversy over the efficacy of these procedures.
• These procedures are usually performed by pediatric surgeons at a quaternary hospital who specialize in small bowel surgery.
• There are two categories of surgery for sort bowel syndrome including non-transplant and transplant interventions.
  • Non-transplant
    • Stricturoplasty 
    • Surgical procedures to lengthen dilated bowel
      • Bianchi procedure: Bowel is cut in half and one end is sewn to the other
      • Serial transverse enteroplasty (STEP): Bowel is cut and stapled in a zigzag pattern
  • Transplant
    • Isolated intestinal transplant
    • Combined intestinal and liver transplant