[Short bowel syndrome].
The short bowel syndrome is a clinical picture, consisting of malabsorption and failure to thrive, in consequence of a resection of more than 50% of the small bowel, with or without resection of a part of the colon. The etiology, pathophysiology, treatment and natural history are discussed, as well as complications and ultimate prognosis. A review of the literature and own retrospective investigation prove, that after an extensive small bowel resection in the neonatal period, normal stools, growth and development can occur in 1-3 years. In the first, postoperative period however, these patients suffer from considerable malabsorption, deficiencies of vitamins and trace elements, as well as complications of total parenteral nutrition and recurrent infections.
Tibboel
D
D
Kinderchirurgische Intensive Care, Sophia Kinderziekenhuis, Rotterdam.
Affourtit
M J
MJ
D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000150:complications / Q000151:congenital*; D007422:Intestines / Q000002:abnormalities*; D008286:Malabsorption Syndromes / Q000209:etiology*; D012778:Short Bowel Syndrome / Q000209:etiology* / Q000628:therapy
Het korte darmsyndroom.