RT Book, Section
A1 Hay, Jr, William W.
A1 Levin, Myron J.
A1 Deterding, Robin R.
A1 Abzug, Mark J.
SR Print(0)
ID 1145458678
T1 Short Bowel Syndrome
T2 Quick Medical Diagnosis & Treatment Pediatrics
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781264257614
LK accesspediatrics.mhmedical.com/content.aspx?aid=1145458678
RD 2024/04/19
AB Results  from  reduced  intestinal  absorptive  surface  that  leads  to  alteration  in  intestinal  function  that  compromises  normal  growth,  fluid/electrolyte  balance,  or  hydration  statusMost  common  etiologiesNecrotizing  enterocolitis  (45%)Intestinal  atresias  (23%)Gastroschisis  (15%)Volvulus  (15%)Less  common  etiologiesCongenital  short  bowelLong-segment  Hirschsprung  diseaseIschemic  bowelMany  factors  influence  the  process  and  likelihood  of  bowel  adaptation  and  achievement  of  enteral  autonomy,  includingPatient's  gestational  agePostsurgical  anatomy  (including  residual  small  bowel  length  and  presence  of  ileocecal  valve  and/or  colon)Presence  of  small  bowel  bacterial  overgrowthUnderlying  surgical  diseaseNo  specific  anatomic  bowel  length  measurements  offer  100%  certainty  in  predicting  clinical  outcomes