title: SHORT BOWEL SYNDROME IN CHILDREN.
abstract: Short bowel syndrome, a devastating outcome after major intestinal resection, manifests as malabsorption and diarrhoea. Improved outcome in recent years has come about with better understanding of the disease and its sequelae. Medical therapy using H2 receptor antagonists, loperamide and growth hormone analogues has been found useful. Total parenteral nutrition has revolutionized the outcome of this crippling disorder. Diverse spectrums of surgical procedures aimed at deceleration of intestinal transit and intestinal lengthening have not found favour in clinical practice. Intestinal transplantation remains the only viable option when intestinal adaptation is inadequate and complications of total parenteral nutrition ensue.
authors.affiliation: Reader in Surgery and Paediatric Surgeon, Department of Surgery, Armed Forces Medical College, Pune - 411040.
authors.forename: M M
authors.initials: MM
authors.lastname: Harjai
authors.affiliation: Classified Specialist in Surgery and Paediatric Surgery, Command Hospital (Southern Command), Pune.
authors.forename: B
authors.initials: B
authors.lastname: Puri
authors.affiliation: Senior Consultant in Surgery, Office of DGAFMS, New Delhi.
authors.forename: N B
authors.initials: NB
authors.lastname: Amaresh
keywords: Adaptation; Intestinal transplantation; Small bowel syndrome; Small gut syndrome; Total parenteral nutrition