Short bowel syndrome surgery: Difference between revisions
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**[Indication 2] | **[Indication 2] | ||
**[Indication 3] | **[Indication 3] | ||
*Transplant is not the first-line surgical option for patients with short bowel syndrome. Transplant is usually reserved for patients with either:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | *Transplant is not the first-line surgical option for patients with short bowel syndrome. Transplant is usually reserved for patients with either:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref> | ||
**Life-threatening complications of intestinal failure | **Life-threatening complications of intestinal failure | ||
**Irreversible permanent total parenteral nutrition (TPN) requirement and episodes of sepsis | **Irreversible permanent total parenteral nutrition (TPN) requirement and episodes of sepsis | ||
**Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access | **Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access | ||
==Contraindications== | ==Contraindications== | ||
* [[Organ transplant|Transplant]] is contraindicated in patients with either:<ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref> | * [[Organ transplant|Transplant]] is contraindicated in patients with either:<ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref> | ||
** Absolute | ** Absolute | ||
*** Active infection | *** Active infection |
Revision as of 19:57, 8 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3].
Indications
- Surgery is not the first-line treatment option for patients with short bowel syndrome. Surgery is usually reserved for patients with either:
- Complications
- [Indication 2]
- [Indication 3]
- Transplant is not the first-line surgical option for patients with short bowel syndrome. Transplant is usually reserved for patients with either:[1][2]
- Life-threatening complications of intestinal failure
- Irreversible permanent total parenteral nutrition (TPN) requirement and episodes of sepsis
- Irreversible permanent total parenteral nutrition (TPN) requirement and loss of venous access
Contraindications
- Transplant is contraindicated in patients with either:[3][2]
- Absolute
- Active infection
- Malignancies
- Relative
- Reduced neurodevelopment
- Psychosocial factors
- Absolute
Surgery
- Approximately half of the patients with short bowel syndrome will require surgery. However, there is controversy over the efficacy of these procedures.
- These procedures are usually performed by pediatric surgeons at a quaternary hospital who specialize in small bowel surgery.
- There are two categories of surgery for short bowel syndrome including non-transplant and transplant interventions.[1]
{{#ev:youtube|v=7l1f2-dF-QY}}
- Serial transverse enteroplasty (STEP): Bowel is cut and stapled in a zigzag pattern
{{#ev:youtube|v=Zjl7AjiyXwQ}}
- Transplant
- Isolated intestinal transplant
- Combined intestinal and liver transplant
- Transplant
References
- ↑ 1.0 1.1 Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
- ↑ 2.0 2.1 Thompson, Jon S.; Weseman, Rebecca; Rochling, Fedja A.; Mercer, David F. (2011). "Current Management of the Short Bowel Syndrome". Surgical Clinics of North America. 91 (3): 493–510. doi:10.1016/j.suc.2011.02.006. ISSN 0039-6109.
- ↑ Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.