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Short bowel syndrome in children: surgical and medical perspectives

Riccardo Coletta1, Basem A Khalil1, Antonino Morabito1

  • 1Paediatric Autologous Bowel Reconstruction and Rehabilitation Unit, Royal Manchester Children׳s Hospital, Oxford Rd, Manchester M13 9WL, UK; School of Medicine, University of Manchester, Manchester, UK.

Seminars in Pediatric Surgery
|December 3, 2014
PubMed

Insights

Short bowel syndrome (SBS) in children requires individualized treatment. Autologous gastrointestinal reconstruction offers a non-transplant management pathway for achieving enteral autonomy in SBS patients.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Intestinal rehabilitation

Background:

  • Short bowel syndrome (SBS) is a primary cause of intestinal failure in children.
  • Surgical lengthening procedures have become integral to SBS management over the past 30 years.
  • Optimal indications and timing for SBS surgical interventions remain subjects of ongoing debate.

Purpose of the Study:

  • To review current literature on autologous gastrointestinal reconstruction techniques.
  • To assess a comprehensive non-transplant management strategy for SBS.
  • To emphasize the need for individualized patient approaches in SBS treatment.

Main Methods:

  • Systematic literature review of autologous gastrointestinal reconstruction.
  • Analysis of current multidisciplinary intestinal rehabilitation programs.
  • Evaluation of surgical approaches for SBS.

Main Results:

  • Lengthening procedures are key components of SBS rehabilitation.
  • Enteral autonomy is achievable through individualized care.
  • Autologous gastrointestinal reconstruction represents a viable non-transplant option.

Conclusions:

  • SBS management necessitates a personalized approach.
  • Autologous gastrointestinal reconstruction is a crucial element in non-transplant SBS care.
  • Further research into SBS surgical treatment strategies is warranted.

Keywords:
Autologous gastrointestinal reconstructive surgeryChildrenIntestinal failureLILTSTEPShort bowel syndrome

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