Short bowel syndrome surgery: Difference between revisions
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**Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access | **Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access | ||
==Contraindications== | ==Contraindications== | ||
* Transplant is contraindicated in patients with either: | * Transplant is contraindicated in patients with either:<ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref> | ||
** Absolute | ** Absolute | ||
*** Active infection | *** Active infection | ||
Revision as of 15:35, 5 December 2017
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Short bowel syndrome Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Short bowel syndrome surgery On the Web |
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American Roentgen Ray Society Images of Short bowel syndrome surgery |
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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:[1]
- 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
Contraindications
- Transplant is contraindicated in patients with either:[2]
- Absolute
- Active infection
- Malignancies
- Relative
- Reduced neurodevelopment
- Psychosocial factors
- Absolute
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.[1]
- Non-transplant
- Stricturoplasty
- Surgical procedures to lengthen dilated bowel
- Bianchi procedure: Bowel is cut in half and one end is sewn to the other
- Non-transplant
{{#ev:youtube|v=7l1f2-dF-QY}}
- Serial transverse enteroplasty (STEP): Bowel is cut and stapled in a zigzag pattern
{{#ev:youtube|v=Zjl7AjiyXwQ}}
- Transplant
- Isolated intestinal transplant
- Combined intestinal and liver transplant
- Transplant
References
- ↑ 1.0 1.1 Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
- ↑ Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.