caa a22 4500 475802071 CHVBK 20180406123740.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s002680010266 doi (NATIONALLICENCE)springer-10.1007/s002680010266 Short Bowel Syndrome [Elektronische Daten] [Douglas W. Wilmore, Malcolm K. Robinson] The short bowel syndrome is a symptom complex that occurs in adults who have less than 200 cm of jejunum-ileum remaining after intestinal resection. Similar symptoms are observed in infants and children following massive bowel resection or congenital anomalies and in individuals with longer segments of intestine with severe mucosal disease. Initial care should focus on a thorough excision of nonviable bowel, an exact measurement of the remaining viable bowel, placing all intestine in continuity at the initial or subsequent operation, and controlling initial food intake. With time, adaptation of the remnant intestine occurs, and absorptive function may be maximized by enhancing the enteral diet and minimizing parenteral nutrition. Growth factors and specialized nutrients may also enhance this process. Intestinal transplantation should be considered in selected individuals with the short bowel syndrome who fail intestinal rehabilitation protocols. Société Internationale de Chirurgie, 2000 Wilmore Douglas W. aut Robinson Malcolm K. aut World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1486-1492 0364-2313 24:12<1486 2000 24 268 https://doi.org/10.1007/s002680010266 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010266 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wilmore Douglas W. aut NATIONALLICENCE 700 1- Robinson Malcolm K. aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1486-1492 0364-2313 24:12<1486 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer