Autologous intestinal reconstruction surgery
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In brief
In brief
Review of surgical techniques for autologous intestinal reconstruction in pediatric short bowel syndrome patients who cannot achieve enteral autonomy through adaptation alone. Focuses on bowel tapering procedures as alternatives to prolonged parenteral nutrition or transplantation, comparing surgical approaches, outcomes, and clinical applications.
Written by the GCMD Library team from the article.
Publication date: August 2018
Source: Seminars in Pediatric Surgery, Volume 27, Issue 4
Author(s): Gabriel Ramos-Gonzalez, Heung Bae Kim
Abstract
The management of short bowel syndrome has mainly been focused on intestinal rehabilitation as part of multidisciplinary team approach in specialized centers. While some patients go through a process of bowel adaptation that allows them to reach enteral autonomy, others reach a plateau before this and require prolonged parenteral nutrition and/or intestinal transplantation. Various autologous intestinal reconstruction procedures centered on bowel tapering have been described to increase functional intestinal area and help gain enteral autonomy. This review discusses the surgical techniques, advantages, limitations, and general outcomes of each procedure.