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: W Donald Buie, Olin G Thurston, Richard N Fedorak
Format: Article
Language:English
Published: Wiley 1990-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1990/218318
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author W Donald Buie
Olin G Thurston
Richard N Fedorak
author_facet W Donald Buie
Olin G Thurston
Richard N Fedorak
author_sort W Donald Buie
collection DOAJ
description 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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institution Kabale University
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publishDate 1990-01-01
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series Canadian Journal of Gastroenterology
spelling doaj-art-9dbdd3313ab34dbda63e3302e54257922025-02-03T01:09:51ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014416717310.1155/1990/218318Short Bowel Syndrome: Surgical TherapyW Donald BuieOlin G ThurstonRichard N FedorakMany 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.http://dx.doi.org/10.1155/1990/218318
spellingShingle W Donald Buie
Olin G Thurston
Richard N Fedorak
Short Bowel Syndrome: Surgical Therapy
Canadian Journal of Gastroenterology
title Short Bowel Syndrome: Surgical Therapy
title_full Short Bowel Syndrome: Surgical Therapy
title_fullStr Short Bowel Syndrome: Surgical Therapy
title_full_unstemmed Short Bowel Syndrome: Surgical Therapy
title_short Short Bowel Syndrome: Surgical Therapy
title_sort short bowel syndrome surgical therapy
url http://dx.doi.org/10.1155/1990/218318
work_keys_str_mv AT wdonaldbuie shortbowelsyndromesurgicaltherapy
AT olingthurston shortbowelsyndromesurgicaltherapy
AT richardnfedorak shortbowelsyndromesurgicaltherapy