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[Short bowel: from resection to transplantation].

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Summary

Short bowel syndrome (SBS) significantly reduces intestinal surface area, causing malabsorption and malnutrition. Bowel transplantation (BT) is now a primary therapy for irreversible intestinal failure, offering improved survival and digestive autonomy.

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Area of Science:

  • Gastroenterology
  • Surgical Sciences
  • Transplantation Medicine

Background:

  • Short bowel syndrome (SBS) results from extensive loss of small intestine surface area.
  • Complications include malabsorption, malnutrition, dehydration, and metabolic issues.
  • Often occurs post-resection, intrinsic disease, or surgical bypass.

Purpose of the Study:

  • To review the key aspects of short bowel syndrome (SBS).
  • To highlight current treatment strategies and outcomes.
  • To discuss the role of bowel transplantation (BT) in managing irreversible intestinal failure.

Main Methods:

  • Literature review of short bowel syndrome (SBS) and bowel transplantation (BT).
  • Analysis of recent outcomes and survival rates.
  • Evaluation of treatment efficacy and patient autonomy.

Main Results:

  • Short bowel syndrome (SBS) leads to severe malabsorption and malnutrition.
  • Parenteral nutrition has limitations for long-term management.
  • Bowel transplantation (BT) shows high survival rates and promotes digestive autonomy.

Conclusions:

  • Bowel transplantation (BT) is a viable first-line therapy for selected SBS patients.
  • Successful BT can lead to complete digestive autonomy.
  • Individualized nutritional support remains crucial in SBS management.