Het kortedarmsyndroom bij kinderen

Translated title of the contribution: The short bowel syndrome in children

H. Meijers-IJsselstijn*, E. H.H.M. Rings, D. Tibboel

*Corresponding author for this work

Research output: Contribution to journalArticleProfessional

2 Citations (Scopus)

Abstract

Patients with short bowel syndrome suffer from malabsorption due to loss of functional intestinal mass. The incidence is not exactly known since many different definitions of the syndrome have been reported. This paper discusses the different aspects of the short bowel syndrome with respect to pathophysiology, intestinal rehabilitation en indications for intestinal transplantation. Following intestinal resection three different stages have been described: the acute phase (characterized by losses of fluid and electrolytes), the adaptation phase (with resulting increase of functional surface area of the intestines) and a maintenance phase. The complications following intestinal resection and the need for prolonged parenteral nutrition will be determined by the remaining intestines (including the presence of the ileocecal valve) and the possibilities for adaptation. Prevention of complications and intestinal rehabilitation are important goals to be achieved by interdisciplinary teams. When these goals fail, intestinal transplantation (if necessary combined with liver transplantation) can be considered. The survival rates of this treatment modality has significantly improved during the past ten years.

Translated title of the contributionThe short bowel syndrome in children
Original languageDutch
Pages (from-to)159-163
Number of pages5
JournalTijdschrift voor Kindergeneeskunde
Volume74
Issue number4
DOIs
Publication statusPublished - Aug 2006

Research programs

  • EMC MGC-02-53-01-A

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