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Published on: December 1, 2012
Short Bowel Syndrome in an Infant
Holly J Engelstad1, Melissa E Danko2
1Departments of Pediatrics and.
Insights
Short bowel syndrome (SBS) is a condition causing poor nutrient absorption, often requiring specialized care. This review guides neonatologists on managing neonatal SBS, covering causes, complications, and treatments.
Area of Science:
- Neonatology
- Pediatric Surgery
- Gastroenterology
Background:
- Short bowel syndrome (SBS) is a significant malabsorptive condition.
- It results from surgical resection or congenital anomalies, leading to intestinal failure.
- SBS presents substantial morbidity and mortality risks, including sepsis and death.
Purpose of the Study:
- To provide neonatologists with a comprehensive overview of neonatal SBS.
- To detail common causes, nutritional deficiencies, and complications.
- To outline surgical and medical management strategies for affected families.
Main Methods:
- This is a review article.
- It synthesizes current knowledge on neonatal SBS.
- Information is presented for clinical guidance.
Main Results:
- Neonatal SBS necessitates a multidisciplinary approach.
- Management includes neonatology, pediatric surgery, nutrition, and specialized rehabilitation.
- Early identification and intervention are crucial.
Conclusions:
- Effective management of neonatal SBS requires a coordinated, multidisciplinary team.
- Understanding causes, complications, and treatments aids in family counseling.
- Intestinal rehabilitation programs are vital for improving outcomes.
Abstract:
Short bowel syndrome (SBS) is a malabsorptive state that may occur either after surgical bowel resection or as the result of congenital bowel anomalies. SBS can incur significant morbidity and mortality including intestinal failure, cholestasis, sepsis, and death. For patients with SBS, management involves a multidisciplinary approach that begins with neonatology, pediatric surgery, nutritionists, pharmacists, and nurses in the NICU and also includes the transition to an intestinal rehabilitation program. The aim of this review is to provide the neonatologist with an overview of the common causes of neonatal SBS, anticipated nutritional deficiencies, complications associated with SBS, and the surgical and medical management of SBS to assist in counseling affected families.
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