Nontransplant Surgery for Intestinal Failure.
Gastroenterol Clin North Am
; 48(4): 565-574, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31668183
ABSTRACT
Insufficient absorptive mucosal surface is the fundamental problem in the short bowel state. Intestinal adaptation has been well studied, and it is well recognized that it may lead to dilatation of the bowel with increased thickness of the bowel wall, resulting from both mucosal hypertrophy and hyperplasia. Autologous reconstructive surgery exploits bowel dilatation in short bowel syndrome and maximizes the absorptive potential of the available mucosal surface. Indeed, autologous gastrointestinal reconstructive procedures may be better viewed as optimizing bowel diameter rather than focusing on length, thus allowing better prograde peristalsis and improved contact between luminal nutrients and mucosa, ultimately enhancing absorption.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Intestino Curto
/
Procedimentos Cirúrgicos do Sistema Digestório
Limite:
Humans
Idioma:
En
Revista:
Gastroenterol Clin North Am
Ano de publicação:
2019
Tipo de documento:
Article