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Autologous gastrointestinal reconstructive surgery: complement or alternative to intestinal transplantation

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Fusaro, Fabio [UCL] Hermans, Dominique [UCL] Reding, Raymond [UCL]

PURPOSE OF REVIEW: Autologous intestinal reconstructive surgery has evolved over the past 3 decades from rescue to main surgical procedure in the multidisciplinary approach to short bowel syndrome (SBS) patients with intestinal failure. The purpose of this review is to clarify the actual place of intestinal reconstructive surgical techniques in the management of intestinal failure related to SBS and their relationship with intestinal transplantation. RECENT FINDINGS: Recent reports from centers of excellence in intestinal rehabilitation underline the efficacy and safety of autologous intestinal reconstructive surgery in patients with SBS. Outcome parameters as survival, parenteral nutrition weaning, and clinical conditions were improved in SBS patients treated by gastrointestinal reconstructive surgery. SUMMARY: Autologous intestinal reconstructive procedures are pivotal to achieve enteral autonomy in patients with intestinal failure related to SBS. They should be considered mutually supportive and not antagonistic to intestinal transplantation.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès interdit
Publication date 2013
Language Anglais
Journal information "Current Opinion in Organ Transplantation" - Vol. 18, no.3, p. 286-90 (2013)
Peer reviewed yes
Publisher Lippincott Williams & Wilkins ((United States) Philadelphia)
issn 1087-2418
e-issn 1531-7013
Publication status Publié
Affiliations UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service de pédiatrie spécialisée
MESH Subject Complementary Therapies ; Digestive System Surgical Procedures ; Humans ; Intestines ; Parenteral Nutrition ; Reconstructive Surgical Procedures ; Short Bowel Syndrome
Keywords Autologus gastrointestinal reconstruction ; intestinal failure ; intestinal rehabilitation ; lengthening procedures ; short bowel syndrome
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Bibliographic reference Fusaro, Fabio ; Hermans, Dominique ; Reding, Raymond. Autologous gastrointestinal reconstructive surgery: complement or alternative to intestinal transplantation. In: Current Opinion in Organ Transplantation, Vol. 18, no.3, p. 286-90 (2013)
Permanent URL http://hdl.handle.net/2078.1/132667