Current Management of the Short Bowel Syndrome

被引:48
作者
Thompson, Jon S. [1 ]
Weseman, Rebecca
Rochling, Fedja A. [2 ]
Mercer, David F. [3 ]
机构
[1] Univ Nebraska Med Ctr, Dept Surg, Div Gen Surg, Omaha, NE 68198 USA
[2] Univ Nebraska Med Ctr, Dept Med, Div Gastroenterol & Hepatol, Omaha, NE 68198 USA
[3] Univ Nebraska Med Ctr, Dept Surg, Div Transplantat, Omaha, NE 68198 USA
关键词
Short bowel syndrome; Intestinal failure; Intestinal transplantation; HOME PARENTERAL-NUTRITION; EPIDERMAL-GROWTH-FACTOR; QUALITY-OF-LIFE; INTESTINAL FAILURE; ADULT PATIENTS; NUTRIENT ABSORPTION; ENTERAL NUTRITION; SURGICAL APPROACH; LIVER-DISEASE; DOUBLE-BLIND;
D O I
10.1016/j.suc.2011.02.006
中图分类号
R61 [外科手术学];
学科分类号
摘要
Short bowel syndrome is a challenging clinical problem that benefits from a multidisciplinary approach. Much progress has recently been made in all aspects of management. Medical intestinal rehabilitation should be the initial treatment focus, and several new potential pharmacologic agents are being investigated. Surgical rehabilitation using nontransplant procedures in selected patients may further improve intestinal function. Intestinal lengthening procedures are particularly promising. Intestinal transplantation has increasingly been used with improving success in patients with life-threatening complications of intestinal failure.
引用
收藏
页码:493 / +
页数:19
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