TECHNIQUES FOR AUTOGENOUS SURGICAL RECONSTRUCTION OF SMALL INTESTINE IN SHORT BOWEL SYNDROME

  • Authors: Khasanov RR1, Gumerov AA2, Khagl KI3, Vessel LM3
  • Affiliations:
    1. Башкирский государственный медицинский университет, г. Уфа, Клиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг
    2. Башкирский государственный медицинский университет, г. Уфа
    3. Клиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг
  • Issue: Vol 32, No 4 (2015)
  • Pages: 104-115
  • Section: Articles
  • URL: https://journals.rcsi.science/PMJ/article/view/3378
  • DOI: https://doi.org/10.17816/pmj324104-115
  • ID: 3378

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Full Text

Abstract

Short bowel syndrome (SBS) is one of the main reasons of intestinal insufficiency development. The SBS therapy is aimed at promotion of an adequate development and growth, prevention of complications and, finally, patient’s refusal from parenteral nutrition and change for complete enteral nutrition. Multiple studies prove efficiency of autogenous surgical reconstruction (ASR) of the small intestine in treatment of short bowel syndrome. They can be divided into two large groups: techniques directed to slowing of intestinal transit by formation of valves, anti-peristaltic segments and others; and techniques for intestinal lengthening by means of reconstruction of the small intestine dilated while intestinal adaptation that allows to use all the intestinal mucosa for absorption and prevents development of intestinal content stagnation. Reduction of patient’s need in parenteral nutrition and, finally, refusal from parenteral nutrition is the main target of small intestine ASR in patients with short bowel syndrome. Choice of technique and patients for surgical treatment, time required for surgical treatment of SBS are very important factors for reaching positive results.

About the authors

R R Khasanov

Башкирский государственный медицинский университет, г. Уфа, Клиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг

Email: pedsurg@bk.ru
доктор медицинских наук, профессор, заведующий кафедрой детской хирургии с курсом ИДПО

A A Gumerov

Башкирский государственный медицинский университет, г. Уфа

K I Khagl

Клиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг

доктор медицинских наук, заведующая исследовательской лабораторией

L M Vessel

Клиника детской хирургии, университетская клиника Маннгейм, Университет Гайдельберг

профессор, доктор медицинских наук, директор

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Copyright (c) 2015 Khasanov R.R., Gumerov A.A., Khagl K.I., Vessel L.M.

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