Vanderhoof J A
Department of Pediatrics, University of Nebraska Medical Center, Omaha, USA.
Pediatr Clin North Am. 1996 Apr;43(2):533-50. doi: 10.1016/s0031-3955(05)70419-3.
This article discusses the management of short bowel syndrome from the time of intestinal resection until the patient either recovers free of supplemental parenteral and enteral nutrition or progresses to the point of needing intestinal transplantation. The importance of aggressive use of enteral feedings is emphasized, especially in relation to the process of intestinal adaptation. An approach to the various complications of short bowel syndrome, especially small bowel bacterial overgrowth, is discussed. Surgical options short of transplantation also are described. Intestinal transplantation and its present and future roles in the management of patients with short bowel syndrome are discussed.
本文讨论了短肠综合征从肠道切除时起至患者无需补充肠外和肠内营养康复或发展至需要进行肠道移植这一阶段的管理。强调了积极使用肠内喂养的重要性，尤其是与肠道适应过程相关的方面。还讨论了短肠综合征各种并发症的处理方法，特别是小肠细菌过度生长。文中也描述了除移植外的手术选择。此外，还讨论了肠道移植及其在短肠综合征患者管理中的现状和未来作用。
