Management of severe Short Bowel Syndrome (SBS) is still one of the largest challenges
of the medicine. Vast majority of the short bowel patients are children, the conditions that
lead to this possible outcome most often are necrotizing enterocolitis (NEC), small intestinal
volvulus as a result of intestinal malrotation, gastroschisis and the “apple peel” syndrome.
Therefore, paediatricians and paediatric surgeons face this challenge most often. The nontransplant
treatment appears to be effective using surgical procedure to increase absorptive surface
and to reduce the transit time, but in some cases these procedures are enough to weaning of
TPN. The aim of this review was to summarize the modern non-stransplant surgical management
of short bowel syndrome.
Keywords: Short bowel syndrome, reverse segment procedure, longitudinal intestinal lengthening and tailoring, serial transverse
enteroplasty, spiral intestinal lengthening and tailoring.
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