ABSTRACT

Within 1 year in more than 80% of the patients, adequate intestinal adaptation occurs and they can be weaned off parenteral nutritional support.29,30,31 However, this process can cause significant embarrassment and psychological stress to the child and its family, as well as complications such as septicemia, cholecystitis and chronic liver fibrosis.32 While intestinal transplantation has still limited clinical applicability with long-term survivors,33 ongoing interest exists in surgical methods to enhance nutrient absorption. This chapter reviews current surgical techniques for patients with SBS, with special emphasis on their clinical applicability.