Short bowel syndrome and malabsorption-causes and prevention

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

SummaryBackground: The short bowel syndrome (SBS) is a condition caused by extensive intestinal resection for a variety of conditions. The etiology varies by age group. Necrotizing enterocolitis is the leading cause in infants. In older children, trauma and malignancies are most common. Postoperative SBS has become most common in adults, followed by mesenteric vascular disease and cancer/irradiation. Methods: Systematic literature review. Results: Prevention of SBS should be given high priority. Each of the etiologies has been evaluated and strategies to prevent extensive resection have been developed. These include a thoughtful approach to reoperation, early identification of complications, e.g. intestinal ischemia, reducing radiation enteritis, and bowel-conserving therapies in diseases such as Crohn's disease. Conclusion: Several operative strategies to prevent SBS are useful. Timing and extent of reoperation need careful consideration. Minimizing intestinal resection, bowel-conserving techniques for complications such as fistula or strictures, and remodeling procedures are important.

Original languageEnglish (US)
Pages (from-to)174-178
Number of pages5
JournalViszeralmedizin: Gastrointestinal Medicine and Surgery
Volume30
Issue number3
DOIs
StatePublished - Jun 2014

Keywords

  • Crohn's disease
  • Radiation enteritis
  • Short bowel syndrome

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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