Non-transplant surgical management of short bowel syndrome in children: an overview

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 non-surgical treatment appears to be effective using surgical procedure to increase absorptive surface and to reduce the transit time, but in some cases these procedure are enough to weaning of TPN. The aim of this review was to summarise the modern non-stransplant surgical management of short bowel syndrome.