Short bowel syndrome surgery: Difference between revisions

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**[Indication 2]
**[Indication 2]
**[Indication 3]
**[Indication 3]
*[[Organ transplant|Transplant]] is not the first-line surgical option for patients with short bowel syndrome. [[Organ transplant|Transplant]] is usually reserved for patients with either:<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><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref>
*[[Organ transplant|Transplant]] is not the first-line surgical option for patients with short bowel syndrome. [[Organ transplant|Transplant]] is usually reserved for patients with either:<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><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref><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>
**Life-threatening complications of [[Intestine|intestinal]] failure
**Life-threatening complications of [[Intestine|intestinal]] failure
**Irreversible permanent [[total parenteral nutrition]] requirement and episodes of [[sepsis]]
**Irreversible permanent [[total parenteral nutrition]] requirement and episodes of [[sepsis]]
**Irreversible permanent [[total parenteral nutrition]] requirement and loss of [[Vein|venous]] access
**Irreversible permanent [[total parenteral nutrition]] requirement and loss of [[Vein|venous]] access
==Contraindications==
==Contraindications==
* [[Organ transplant|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><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref>
* [[Organ transplant|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><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref>

Revision as of 20:47, 8 December 2017

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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

Contraindications

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]
    • Non-transplant
      • Stricturoplasty 
      • Surgical procedures to lengthen dilated bowel
        • Bianchi procedure: Bowel is cut in half and one end is sewn to the other

{{#ev:youtube|v=7l1f2-dF-QY}}

  • Serial transverse enteroplasty (STEP): Bowel is cut and stapled in a zigzag pattern

{{#ev:youtube|v=Zjl7AjiyXwQ}}

{{#ev:youtube|v=BSQYcrVE1vE}}

References

  1. ↑ 1.0 1.1 1.2 1.3 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. ↑ 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.
  3. ↑ 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.
  4. ↑ 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.

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