"Pediatric Surgery, Diagnosis and Management" features contributions by leading experts in pediatric surgery and pediatric urology who have unique experience in their respective fields. The text provides detailed practical advice on the diagnosis and management of congenital and acquired conditions in infants and children.

This comprehensive book provides detailed practical advice on the diagnosis and surgical management of congenital and acquired conditions in infants and children. Following the great success of the first edition, the new edition has been fully updated to reflect the major developments in the field of the past decade. Advances in prenatal diagnosis, imaging, anaesthesia and intensive care as well as the introduction of new surgical techniques, including minimally invasive surgery and robotic technology that have radically altered surgical conditions are now discussed in the book. In addition new chapters have been added on surgical safety in children, surgical problems of children with disabilities and surgical implications of HIV infection in children among others. This is a superbly structured and richly illustrated guide aimed at trainees, young pediatric surgeons and general surgeons with interest in pediatric surgery. The book also serves as a handy, quick and easy reference for those making decisions in daily practice. Pediatric Surgery, Diagnosis and Management features contributions by leading experts in pediatric surgery and pediatric urology who have unique experience in their respective fields.

Extensive loss of small bowel in all age groups has dramatic consequences on the lifestyle of the patient and the whole family and is accompanied by significant morbidity and mortality. All patients need nutritional and medical support and some of them remain dependent on long-term parenteral therapy. Recurrent surgical interventions or even intestinal transplantation may be necessary. However, the intestinal tract exhibits an astonishing ability to compensate for an extensive loss of small bowel. Adaptation to the new situation takes place with time by structural and functional changes resulting in an increased surface area with improved digestive and absorptive capacity. This process, however, differs markedly among individual patients depending on the remaining length and functional quality of small bowel. Mechanisms supporting, and complications delaying, the adaptation process have been studied extensively over the past decades. This review presents a survey of incidence, etiology, and consequences of extensive loss of small bowel. A short description of the normal digestive and absorptive function of the gastrointestinal tract and the pathophysiological consequences in short bowel cases is followed by discussing the current field of basic research, presenting today's medical and surgical treatment modalities and the related results in patients with SBS. Most of the data are derived from animal studies or research performed on newborns and infants suffering from SBS, but the majorities are equally relevant to the adolescent and adult age group.