title: Short bowel syndrome in children: surgical and medical perspectives.
abstract: The main cause of intestinal failure in children is due to short bowel syndrome (SBS) resulting from congenital or acquired intestinal lesions. From the first lengthening procedure introduced by Bianchi, the last three decades have seen lengthening procedures established as fundamental components of multidisciplinary intestinal rehabilitation programs. Debate on indications and timing of the procedures is still open leaving SBS surgical treatment a great challenge. However, enteral autonomy is possible only with an individualized approach remembering that each SBS patient is unique. Current literature on autologous gastrointestinal reconstruction technique was reviewed aiming to assess a comprehensive pathway in SBS non-transplant management.
authors.affiliation: Paediatric Autologous Bowel Reconstruction and Rehabilitation Unit, Royal Manchester Children׳s Hospital, Oxford Rd, Manchester M13 9WL, UK; School of Medicine, University of Manchester, Manchester, UK.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Coletta
authors.affiliation: Paediatric Autologous Bowel Reconstruction and Rehabilitation Unit, Royal Manchester Children׳s Hospital, Oxford Rd, Manchester M13 9WL, UK; School of Medicine, University of Manchester, Manchester, UK.
authors.forename: Basem A
authors.initials: BA
authors.lastname: Khalil
authors.affiliation: Paediatric Autologous Bowel Reconstruction and Rehabilitation Unit, Royal Manchester Children׳s Hospital, Oxford Rd, Manchester M13 9WL, UK; School of Medicine, University of Manchester, Manchester, UK. Electronic address: antonino.morabito@cmft.nhs.uk.
authors.forename: Antonino
authors.initials: A
authors.lastname: Morabito
mesh_terms: D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D012778:Short Bowel Syndrome / Q000188:drug therapy* / Q000601:surgery*
keywords: Autologous gastrointestinal reconstructive surgery; Children; Intestinal failure; LILT; STEP; Short bowel syndrome