Books > Medicine > Clinical & internal medicine > Gastroenterology
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Short Bowel Syndrome in Children - Current Practice & Future Perspectives (Hardcover)
Loot Price: R3,122
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Short Bowel Syndrome in Children - Current Practice & Future Perspectives (Hardcover)
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Short bowel syndrome (SBS) is defined as intestinal failure
following a loss of intestinal length which causes marked
maldigestion and malabsorption of dietary nutrients and induces
major faecal issues, loss of energy, nitrogen, and fat. Intestinal
failure and SBS continue to be important clinical problems due to
their high mortality and morbidity rates, as well as their
devastating socio-economic effects. Although intestinal
transplantation has emerged as a feasible alternative in the
treatment of children with SBS in the last two decades, intestinal
adaptation remains the only chance for survival in a subset of
these patients. Intestinal adaptation is defined as a process of
progressive recovery from intestinal failure following bowel
resection. In this book, the aetiology of SBS, its pathophysiology,
and the cellular and molecular mechanisms of intestinal adaptation
are reviewed. The most common complications of SBS, including
intestinal failure associated liver disease and sepsis, are
outlined with strategies to reduce them. The potential role of
tissue engineering for SBS that go beyond the "simple" generation
of the tubular small intestine is discussed. Such knowledge will
likely provide the basis for further advances in the treatment of
patients with short bowel syndrome and suggest new therapeutic
strategies to maintain gut integrity, eliminate the dependence on
total parenteral nutrition, and avoid the need for intestinal
transplantation.
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