RT Book, Section
A1 Fuller, Megan K.
A1 Dehmer, Jeffrey J.
A1 Helmrath, Michael A.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100435211
T1 Short Bowel Syndrome
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100435211
RD 2024/04/23
AB Due  to  the  repair  and  growth  capacity  of  the  bowel,  it  is  crucial  to  minimize  the  length  of  bowel  resected  at  initial  and  subsequent  operations.Early  and  consistent  administration  of  enteral  nutrition,  utilizing  enteral  feeding  access  if  necessary,  helps  maximize  intestinal  adaptation.Careful  consideration  of  the  location  of  stomas  and  mucous  fistulae  can  minimize  the  length  of  the  operation  to  reestablish  intestinal  continuity.Distal  refeeding  through  a  mucous  fistula  is  a  useful  technique  for  maintaining  enteral  nutrition  despite  the  presence  of  a  very  proximal  stoma.Intestinal  failure  associated  liver  disease  and  catheter-related  septic  complications  may  be  reduced  with  application  of  liver-protective  feeding  strategies  and  ethanol  lock  devices.Autologous  intestinal  reconstruction  surgery  should  only  be  considered  after  sufficient  time  has  passed  to  allow  for  maximal  adaptation  of  the  remnant  bowel.Formal  multidisciplinary  intestinal  failure  teams  can  improve  patient  outcomes.