| Short bowel syndrome. | |
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MedLine Citation:
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PMID: 20709285 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The short bowel syndrome (SBS) is a state of malabsorption following intestinal resection where there is less than 200 cm of intestinal length. The management of short bowel syndrome can be challenging and is best managed by a specialised multidisciplinary team. A good understanding of the pathophysiological consequences of resection of different portions of the small intestine is necessary to anticipate and prevent, where possible, consequences of SBS. Nutrient absorption and fluid and electrolyte management in the initial stages are critical to stabilisation of the patient and to facilitate the process of adaptation. Pharmacological adjuncts to promote adaptation are in the early stages of development. Primary restoration of bowel continuity, if possible, is the principle mode of surgical treatment. Surgical procedures to increase the surface area of the small intestine or improve its function may be of benefit in experienced hands, particularly in the paediatric population. Intestinal transplant is indicated at present for patients who have failed to tolerate long-term parenteral nutrition but with increasing experience, there may be a potentially expanded role for its use in the future. |
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Authors:
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Claire L Donohoe; John V Reynolds |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Volume: 8 ISSN: 1479-666X ISO Abbreviation: Surgeon Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-08-16 Completed Date: 2010-11-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101168329 Medline TA: Surgeon Country: Scotland |
Other Details:
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Languages: eng Pagination: 270-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Surgery, Trinity Centre for Health Sciences, Trinity College Dublin, St James' Hospital, Dublin 8, Ireland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Physiological Colon / physiopathology Gastrointestinal Motility Humans Intestines / transplantation Jejunum / physiopathology Prognosis Short Bowel Syndrome / physiopathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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