ABSTRACT

The role of imaging in the child with short bowel syndrome (SBS) is, —rst and foremost, to demonstrate and de—ne, as completely and accurately as possible, the anatomy of the gastrointestinal tract. That this seemingly simple task is often dif—cult to realize in practice is a fact with which all radiologists who work with children with SBS are only too aware. The gastrointestinal anatomy of the child with SBS is, of course, never normal and the abnormality is rarely limited to the length of the intestine. The complexity of the pathologic anatomy is a consequence, in most instances, of both the underlying disorder that led to the SBS and the subsequent, often multiple, surgical procedures. A complete and accurate map of the intestine is essential for effective management of SBS, but will rarely be drawn without persistence and expertise on the part of the radiologist.