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Invited Critique
July 1999

Invited Critique: Surgical Approaches to Improving Intestinal Function in the Short-Bowel Syndrome

Arch Surg. 1999;134(7):711. doi:10.1001/archsurg.134.7.711

Although much progress has been made in the past 3 decades in the management of SBS following massive intestinal resection, residual multivariate dysfunctions that persist in many of the surviving patients are challenging. These consist primarily of absorption and motility problems, but also include intestinal discontinuity, fistulae, obstruction, intractable gastrointestinal disease, and recalcitrant malnutrition. Thompson and Langnas have presented impressive evidence that significant alleviation of intestinal insufficiency and improvement in intestinal absorption and function can be achieved in most of a selected subset of their patients with SBS who underwent nontransplantation surgical procedures to expand intestinal surface area or to improve function of the intestinal remnant.

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