Riccardo Coletta and Antonino Morabito* Pages 106 - 110 ( 5 )
Management of severe Short Bowel Syndrome (SBS) is still one of the largest challenges of the medicine. Vast majority of the short bowel patients are children, the conditions that lead to this possible outcome most often are necrotizing enterocolitis (NEC), small intestinal volvulus as a result of intestinal malrotation, gastroschisis and the “apple peel” syndrome. Therefore, paediatricians and paediatric surgeons face this challenge most often. The nontransplant treatment appears to be effective using surgical procedure to increase absorptive surface and to reduce the transit time, but in some cases these procedures are enough to weaning of TPN. The aim of this review was to summarize the modern non-stransplant surgical management of short bowel syndrome.
Short bowel syndrome, reverse segment procedure, longitudinal intestinal lengthening and tailoring, serial transverse enteroplasty, spiral intestinal lengthening and tailoring.
Department of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Florence, Department of Paediatric Surgery, Meyer Children's Hospital, University of Florence, Florence