Short bowel syndrome surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*Approximately half of the patients with short bowel syndrome will require [[surgery]]. However, there is controversy over the efficacy of these [[Surgery|procedures]].<ref name="pmid26818425">{{cite journal |vauthors=Limketkai BN, Parian AM, Shah ND, Colombel JF |title=Short Bowel Syndrome and Intestinal Failure in Crohn's Disease |journal=Inflamm. Bowel Dis. |volume=22 |issue=5 |pages=1209–18 |year=2016 |pmid=26818425 |doi=10.1097/MIB.0000000000000698 |url=}}</ref> | *Approximately half of the patients with short bowel syndrome will require [[surgery]]. However, there is controversy over the efficacy of these [[Surgery|procedures]].<ref name="pmid26818425">{{cite journal |vauthors=Limketkai BN, Parian AM, Shah ND, Colombel JF |title=Short Bowel Syndrome and Intestinal Failure in Crohn's Disease |journal=Inflamm. Bowel Dis. |volume=22 |issue=5 |pages=1209–18 |year=2016 |pmid=26818425 |doi=10.1097/MIB.0000000000000698 |url=}}</ref> | ||
*These [[Surgery|procedures]] are usually performed by [[Pediatrics|pediatric]] surgeons at a quaternary hospital who specialize in [[Small intestine|small bowel]] [[surgery]]. | *These [[Surgery|procedures]] are usually performed by [[Pediatrics|pediatric]] surgeons at a quaternary hospital who specialize in [[Small intestine|small bowel]] [[surgery]].<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | ||
*There are two categories of [[surgery]] for short bowel syndrome including non-transplant and [[Organ transplant|transplant]] interventions.<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | *There are two categories of [[surgery]] for short bowel syndrome including non-transplant and [[Organ transplant|transplant]] interventions.<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | ||
**Non-transplant | **Non-transplant | ||
Revision as of 20:47, 8 December 2017
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Short bowel syndrome Microchapters |
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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 short bowel syndrome. Surgery is usually reserved for patients with either ....
Indications
- Surgery is not the first-line treatment option for patients with short bowel syndrome. Surgery is usually reserved for patients with either:
- Complications
- [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][2]
- Life-threatening complications of intestinal failure
- Irreversible permanent total parenteral nutrition requirement and episodes of sepsis
- Irreversible permanent total parenteral nutrition requirement and loss of venous access
Contraindications
- Transplant is contraindicated in patients with either:[3][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.[4]
- These procedures are usually performed by pediatric surgeons at a quaternary hospital who specialize in small bowel surgery.[1]
- There are two categories of surgery for short bowel syndrome including non-transplant and transplant interventions.[1]
{{#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
- Transplant
{{#ev:youtube|v=BSQYcrVE1vE}}
- Combined intestinal and liver transplant
References
- ↑ 1.0 1.1 1.2 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.
- ↑ 2.0 2.1 Thompson, Jon S.; Weseman, Rebecca; Rochling, Fedja A.; Mercer, David F. (2011). "Current Management of the Short Bowel Syndrome". Surgical Clinics of North America. 91 (3): 493–510. doi:10.1016/j.suc.2011.02.006. ISSN 0039-6109.
- ↑ 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.
- ↑ Limketkai BN, Parian AM, Shah ND, Colombel JF (2016). "Short Bowel Syndrome and Intestinal Failure in Crohn's Disease". Inflamm. Bowel Dis. 22 (5): 1209–18. doi:10.1097/MIB.0000000000000698. PMID 26818425.