Short bowel syndrome surgery

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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:
    • [Indication 1]
    • [Indication 2]
    • [Indication 3]

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 sort bowel syndrome including non-transplant and transplant interventions.
    • Non-transplant
      • Stricturoplasty 
      • Surgical procedures to lengthen dilated bowel
        • Bianchi procedure: Bowel is cut in half and one end is sewn to the other
        • Serial transverse enteroplasty (STEP): Bowel is cut and stapled in a zigzag pattern
    • Transplant
      • Intestinal transplant
      • Liver transplant

References

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