Autologous intestinal reconstruction surgery

Abstract

The management of short bowel syndrome has mainly been focused on intestinal rehabilitation as part of multidisciplinary team approach in specialized centers. While some patients go through a process of bowel adaptation that allows them to reach enteral autonomy, others reach a plateau before this and require prolonged parenteral nutrition and/or intestinal transplantation. Various autologous intestinal reconstruction procedures centered on bowel tapering have been described to increase functional intestinal area and help gain enteral autonomy. This review discusses the surgical techniques, advantages, limitations, and general outcomes of each procedure.

Keywords: Autologous Intestinal Reconstruction Surgery; Intestinal Failure; Longitudinal Intestinal Lengthening; Parenteral Nutrition; Serial Transverse Enteroplasty; Short Bowel Syndrome.