Short Bowel Syndrome: Surgical Therapy
Many surgical solutions to short bowel syndrome have been proposed; however, none has proven to be uniformly successful. Some of these solutions, combined with optimal medical management, may represent the patient's only hope for survival without parenteral nutrition. Most forms of surgical the...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/218318 |
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| Summary: | Many surgical solutions to short bowel syndrome have been
proposed; however, none has proven to be uniformly successful. Some of these
solutions, combined with optimal medical management, may represent the
patient's only hope for survival without parenteral nutrition. Most forms of
surgical therapy are supportive and aim at controlling three basic
pathophysiological defects: decreased intestinal transit time, gastric hypersecretion,
and reduced functional mucosal surface area. Conservative resection and,
thus, prevention of short bowel syndrome remains the best form of treatment at
present. In the future, small bowel transplantation may prove to be an important
advance in therapy; however, this remains largely experimental due to continued
problems with rejection. |
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| ISSN: | 0835-7900 |