Short bowel syndrome surgical

Surgical intervention is a potential treatment option in patients with complications such as fistulae or abscesses, or in patients with medically refractory disease. Ulcerative colitis is curable with performance of a total colectomy. Patients with UC may opt to have a colectomy to reduce the chance of developing colorectal cancer. Patients with CD may have affected areas of intestine resected. Unfortunately, CD may recur following surgical resection. Repeated surgeries may lead to significant malabsorption of nutrients and drugs consistent with development of short-bowel syndrome. 

Thompson JS, Langnas AN, Pinch LW, et al. Surgical approach to short-bowel syndrome Experience in a population of 160 patients. Ann Surg 1995 222 600-607. 

Shanbhogue LK, Molenaar JC. Short bowel syndrome Metabohc and surgical management. Br J Surg 1994 81 486-499. 

Fig. 7.46. Contrast-enhanced MDCT obtained 6 weeks after intestinal transplantation in 39-year-old man with short-bowel syndrome who presented with acute sepsis syndrome. Image shows large ventral abdominal wall defect (between arrows) due to dehiscence and subsequent operative widening of median laparotomy, intra-abdomlnal abscess (asterisk) with air bubbles (white arrowheads) and cutaneous drainage (arrows). Also seen are intestinal graft enlargement due to edematous infiltration, engorgement of mesenteric vessels, and increased contrast enhancement of intestinal wall (black arrowheads), all of which are consistent with surgically proven peritonitis...

---