TY - CHAP M1 - Book, Section TI - Short Bowel Syndrome 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. Y1 - 2014 N1 - T2 - Operative Pediatric Surgery, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100435211 ER -