Although the primary management of SBS is medical, there are many circumstances in which surgical intervention may offer great therapeutic benefits. Patients with SBS may develop high ostomy outputs, anastomotic strictures and/or severe bowel dilation and regularly have problems with recurrent emesis, dysmotility, bacterial overgrowth and severe diarrhea. Proadaptive surgery, such as stoma closure, stricturoplasty, enteroplasty, ostomy in continuity and tapering or lengthening procedures may produce dramatic clinical improvement. The main indications for surgical intervention in the IRP for children with SBS are failure to progress in enteral feedings, a decrease in the previous level of enteral tolerance, life-threatening complications such as liver disease intestinal failure–associated and recurrent septic episodes with enteric bacteria in a child with a dilated bowel.
We offer several procedures, with their own advantages and risks. We will discuss the procedures with you in detail and choose the most appropriate approach for your child.