Hdl Handle:
http://hdl.handle.net/10147/207828
Title:
Short bowel syndrome.
Authors:
Donohoe, Claire L; Reynolds, John V
Affiliation:
Department of Surgery, Trinity Centre for Health Sciences, Trinity College, Dublin, St James' Hospital, Dublin 8, Ireland.
Citation:
Surgeon. 2010 Oct;8(5):270-9.
Journal:
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207828
DOI:
10.1016/j.surge.2010.06.004
PubMed ID:
20709285
Abstract:
The short bowel syndrome (SBS) is a state of malabsorption following intestinal resection where there is less than 200 cm of intestinal length. The management of short bowel syndrome can be challenging and is best managed by a specialised multidisciplinary team. A good understanding of the pathophysiological consequences of resection of different portions of the small intestine is necessary to anticipate and prevent, where possible, consequences of SBS. Nutrient absorption and fluid and electrolyte management in the initial stages are critical to stabilisation of the patient and to facilitate the process of adaptation. Pharmacological adjuncts to promote adaptation are in the early stages of development. Primary restoration of bowel continuity, if possible, is the principle mode of surgical treatment. Surgical procedures to increase the surface area of the small intestine or improve its function may be of benefit in experienced hands, particularly in the paediatric population. Intestinal transplant is indicated at present for patients who have failed to tolerate long-term parenteral nutrition but with increasing experience, there may be a potentially expanded role for its use in the future.
Language:
eng
MeSH:
Adaptation, Physiological; Colon/physiopathology; Gastrointestinal Motility; Humans; Intestines/transplantation; Jejunum/physiopathology; Prognosis; Short Bowel Syndrome/physiopathology/*surgery
ISSN:
1479-666X (Print); 1479-666X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorDonohoe, Claire Len_GB
dc.contributor.authorReynolds, John Ven_GB
dc.date.accessioned2012-02-01T10:45:52Z-
dc.date.available2012-02-01T10:45:52Z-
dc.date.issued2012-02-01T10:45:52Z-
dc.identifier.citationSurgeon. 2010 Oct;8(5):270-9.en_GB
dc.identifier.issn1479-666X (Print)en_GB
dc.identifier.issn1479-666X (Linking)en_GB
dc.identifier.pmid20709285en_GB
dc.identifier.doi10.1016/j.surge.2010.06.004en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207828-
dc.description.abstractThe short bowel syndrome (SBS) is a state of malabsorption following intestinal resection where there is less than 200 cm of intestinal length. The management of short bowel syndrome can be challenging and is best managed by a specialised multidisciplinary team. A good understanding of the pathophysiological consequences of resection of different portions of the small intestine is necessary to anticipate and prevent, where possible, consequences of SBS. Nutrient absorption and fluid and electrolyte management in the initial stages are critical to stabilisation of the patient and to facilitate the process of adaptation. Pharmacological adjuncts to promote adaptation are in the early stages of development. Primary restoration of bowel continuity, if possible, is the principle mode of surgical treatment. Surgical procedures to increase the surface area of the small intestine or improve its function may be of benefit in experienced hands, particularly in the paediatric population. Intestinal transplant is indicated at present for patients who have failed to tolerate long-term parenteral nutrition but with increasing experience, there may be a potentially expanded role for its use in the future.en_GB
dc.language.isoengen_GB
dc.subject.meshAdaptation, Physiologicalen_GB
dc.subject.meshColon/physiopathologyen_GB
dc.subject.meshGastrointestinal Motilityen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntestines/transplantationen_GB
dc.subject.meshJejunum/physiopathologyen_GB
dc.subject.meshPrognosisen_GB
dc.subject.meshShort Bowel Syndrome/physiopathology/*surgeryen_GB
dc.titleShort bowel syndrome.en_GB
dc.contributor.departmentDepartment of Surgery, Trinity Centre for Health Sciences, Trinity College, Dublin, St James' Hospital, Dublin 8, Ireland.en_GB
dc.identifier.journalThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Irelanden_GB
dc.description.provinceLeinster-

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