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Stanley J. Dudrick, MD
New Haven, Conn

Arch Surg. 1999;134:711.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Although much progress has been made in the past 3 decades in the management of SBS following massive intestinal resection, residual multivariate dysfunctions that persist in many of the surviving patients are challenging. These consist primarily of absorption and motility problems, but also include intestinal discontinuity, fistulae, obstruction, intractable gastrointestinal disease, and recalcitrant malnutrition. Thompson and Langnas have presented impressive evidence that significant alleviation of intestinal insufficiency and improvement in intestinal absorption and function can be achieved in most of a selected subset of their patients with SBS who underwent nontransplantation surgical procedures to expand intestinal surface area or to improve function of the intestinal remnant.

Our experience and philosophy are in agreement with theirs in that (1) elective operative procedures should be avoided in patients with less than 60 cm of small bowel; (2) currently available operative techniques to prolong intestinal transit time have an . . . [Full Text of this Article]

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Surgical Approaches to Improving Intestinal Function in the Short-Bowel Syndrome
Jon S. Thompson and Alan N. Langnas
Arch Surg. 1999;134(7):706-711.
ABSTRACT | FULL TEXT