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    Short bowel syndrome.

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    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.
    Issue Date
    2012-02-01T10:45:52Z
    MeSH
    Adaptation, Physiological
    Colon/physiopathology
    Gastrointestinal Motility
    Humans
    Intestines/transplantation
    Jejunum/physiopathology
    Prognosis
    Short Bowel Syndrome/physiopathology/*surgery
    
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    Citation
    Surgeon. 2010 Oct;8(5):270-9.
    Journal
    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
    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
    ISSN
    1479-666X (Print)
    1479-666X (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.surge.2010.06.004
    Scopus Count
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    St. James's Hospital

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