Group for Improvement of Intestinal Function and Treatment (GIFT), The Hospital for Sick Children, University of Toronto, Canada.
Division of General and Thoracic Surgery, Cincinatti Children's Hospital Medical Center, University of Cincinnati, Cincinnatii, USA; Cincinnati Children's Intestinal Rehabilitation Program, Cincinnati Children's Hospital Medical Center, University of Cincinnati, 3333 Burnet Avenue, MLC 2023, Cincinnati, Ohio 45229, USA.
Semin Pediatr Surg. 2022 Jun;31(3):151175. doi: 10.1016/j.sempedsurg.2022.151175. Epub 2022 May 14.
Intestinal failure (IF) secondary to short bowel syndrome is a challenging and complex medical condition with significant risk for surgical and medical complications. Significant advancements in the care of this patient population have led to improved survival rates. Due to their intensive medical needs children with IF are at risk for long-term complications that require comprehensive management and close monitoring. The purpose of this paper is to review the available literature emphasizing the surgical aspects of care for children with IF secondary to short bowel syndrome. A key priority in the surgical care of this patient population includes strategies to preserve available bowel and maximize its function. Utilization of novel surgical techniques and autologous bowel reconstruction can have a significant impact on children with IF secondary to short bowel syndrome related to the function of their bowel and ability to achieve enteral autonomy. It is also important to understand the potential long-term complications to ensure strategies are put in place to mitigate risk with early detection to improve long-term outcomes.
肠衰竭（IF）继发于短肠综合征，是一种具有显著手术和医疗并发症风险的具有挑战性和复杂性的医学病症。由于对这一患者群体的护理有了显著的进步，其生存率得到了提高。由于他们的医疗需求很高，患有 IF 的儿童存在长期并发症的风险，需要全面管理和密切监测。本文的目的是回顾现有文献，强调继发于短肠综合征的 IF 儿童的护理的手术方面。该患者群体的手术护理的一个关键重点是保留可用肠段并最大限度地发挥其功能的策略。新型手术技术和自体肠重建的使用可以对继发于短肠综合征的 IF 儿童的肠功能和实现肠内自主能力产生重大影响。了解潜在的长期并发症也很重要，以确保制定策略来降低风险，并通过早期发现来改善长期预后。
