Comparison of Short Bowel Syndrome Acquired Early in Life and During Adolescence

Bruzoni, Matías; Sudan, Debra; Cusick, Robert A.; Thompson, Jon S.

doi:10.1097/tp.0b013e3181734995

Cited by 20 publications

(12 citation statements)

References 12 publications

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“…A study of a cohort of adolescents with SBS, where no HPN-related death was observed during a follow-up of several years supports that observation. 59 7,22,29,65,67e69,71 In patients with PDI, the cause of death was related to the underlying disease 7,57 or to HPN. 22 The underlying disease was the main cause of death in patients with IF due to primary non-digestive disease.…”

Section: Patient Populationmentioning

confidence: 98%

Outcome on home parenteral nutrition for benign intestinal failure: A review of the literature and benchmarking with the European prospective survey of ESPEN

et al. 2012

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Section: Patient Populationmentioning

confidence: 98%

Outcome on home parenteral nutrition for benign intestinal failure: A review of the literature and benchmarking with the European prospective survey of ESPEN

et al. 2012

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“…Whether resulting from congenital causes or occurring following any extensive surgical small bowel resection, once a patient is left with less than 180 cm of small bowel, they are at significant risk of developing SBS [9] . To date, there have been numerous procedures described to surgically alleviate SBS, including intestinal transplantation, as well as other nontransplant bowel-lengthening procedures (e.g.…”

Section: Discussionmentioning

confidence: 99%

Antimesenteric Tapering Enteroplasty in an Adult Patient with Clinical Evidence of Obstruction: A Bowel-Preserving Alternative to Resection

et al. 2009

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Background/Aims: The approach to small bowel obstruction, when unrelieved with medical management, is open or laparoscopic exploration, often necessitating lysis of adhesions and the resection of any compromised bowel. In patients with prior bowel resections, the surgeon must tread a fine line, so as not to precipitate the clinical derangement known as short bowel syndrome (SBS). Techniques have been described that curtail the extent of intestinal resection, but these are primarily limited to the pediatric literature and are not commonly practiced in the general surgical population. Methods: We report a case of a complicated small bowel obstruction in a patient with pre-existing short bowel length, in which a tapering enteroplasty was performed. Results: Antimesenteric tapering successfully achieved a return of bowel function, avoiding the morbidity of an extended small bowel resection and the possibility of developing SBS. Conclusion: In such patients who are at high risk of developing SBS, in whom a segment of dilated small bowel has become defunctionalized, leading to significant and life-threatening symptoms, this procedure has the potential to help prevent SBS and its lifelong complications and associated mortality.

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“…Congenital SBS also occurs. In older children, trauma, postoperative SBS, and malignancies become important reasons for resection [ 10 ]. Motility disorders requiring resection are also potential mechanisms for SBS in both infants and children.…”

Section: Causes Of the Short Bowel Syndromementioning

confidence: 99%

Short Bowel Syndrome and Malabsorption - Causes and Prevention

Thompson¹

2014

Visc Med

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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.

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Comparison of Short Bowel Syndrome Acquired Early in Life and During Adolescence

Abstract: Acknowledging the inherent biases created in defining the two groups, pediatric patients developing SBS early in life seem to be similar to those who develop SBS as adolescents with regards to long-term outcome, despite differences in origin and intestinal anatomy.

Cited by 20 publications

References 12 publications

Outcome on home parenteral nutrition for benign intestinal failure: A review of the literature and benchmarking with the European prospective survey of ESPEN

Outcome on home parenteral nutrition for benign intestinal failure: A review of the literature and benchmarking with the European prospective survey of ESPEN

Antimesenteric Tapering Enteroplasty in an Adult Patient with Clinical Evidence of Obstruction: A Bowel-Preserving Alternative to Resection

Short Bowel Syndrome and Malabsorption - Causes and Prevention

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