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Short bowel syndrome after trauma
Anne Dabney1, Jon Thompson, John DiBaise
1Departments of Surgery and Medicine, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE 68198-3280, USA. adabney@unmc.edu
American Journal of Surgery
|December 28, 2004
Summary
Traumatic injuries cause a small percentage of short bowel syndrome (SBS) cases, often involving blood vessel damage. Associated injuries are common, highlighting the need for early diagnosis and careful management to prevent SBS.
Area of Science:
- Gastroenterology
- Trauma Surgery
- Abdominal Surgery
Background:
- Short bowel syndrome (SBS) can result from traumatic injury to the intestine and its vasculature.
- Understanding the incidence and mechanisms of traumatic bowel injury is crucial for preventing SBS.
Purpose of the Study:
- To determine the incidence of traumatic injury leading to massive bowel resection and subsequent SBS.
- To identify the primary mechanisms of traumatic bowel injury causing SBS.
Main Methods:
- A retrospective review of 196 adult patients with SBS over a 23-year period.
- Analysis of patient records to identify traumatic etiologies and associated injuries.
Main Results:
- Traumatic injury was the cause of SBS in 8% (16 patients) of the study cohort.
- Intestinal vascular injury (81%) was more common than direct bowel wall injury (19%).
- 67% of patients with traumatic SBS had nineteen associated injuries.
Conclusions:
- Traumatic abdominal injuries contribute to a small fraction of SBS cases.
- Associated injuries in trauma patients with SBS can complicate outcomes.
- Early diagnosis of vascular injury, second-look procedures, and judicious resection are vital for preventing SBS.