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Pediatric Surgery pp 1–18Cite as

Short Bowel Syndrome

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Abstract

Short bowel syndrome occurs after extensive loss of small bowel leading to a status of intestinal failure characterized by significant problems in digesting and absorbing enteral nutrition. A very complex adaptation process of the intestine allows that 90% of the patients can be weaned after a long-term period from parenteral nutrition. A small number of patients will finally need surgical interventions either to reduce a very fast passage time or to lengthen the dilated intestinal remnants. Some patients will need intestinal or combined intestinal/liver transplantation either after nearly total loss of small bowel or after severe complication such as intestinal failure-associated liver insufficiency. The therapeutic decisions have to be tailored to each individual patient depending which parts of the intestine are lost or which dysfunctions of the intestinal remnants need a special treatment. Survival rates reach today nearly 90% including some children with long-term home parenteral support, additionally to the enteral nutrition.

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References

  • Abu-Elmagd KM, Costa G, Bond GJ, et al. Five hundred intestinal and multivisceral transplantations at a single center. Major advances with new challenges. Ann Surg. 2009;250:567–81.

    PubMed  Google Scholar 

  • Bianchi A. Intestinal loop lengthening – a technique for increasing small intestinal length. J Pediatr Surg. 1980;15:145–51.

    Article  CAS  PubMed  Google Scholar 

  • Bianchi A. Longitudinal intestinal lengthening and tailoring: results in 20 children. J R Soc Med. 1997;90:429–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bloom SR, Polak JM. The hormonal pattern of intestinal adaptation. A major role for Enteroglukagon. Scand J Gastroenterol. 1982;74(Suppl):93–103.

    CAS  Google Scholar 

  • Briet F, Flourie B, Achour L, et al. Bacterial adaptation in patients with short bowel and colon in continuity. Gastroenterology. 1995;109:1446–53.

    Article  CAS  PubMed  Google Scholar 

  • Brink MA, Mendez-Sanchez N, Carey MC. Bilirubin cycles enterohepatically after ileal resection in the rat. Gastroenterology. 1996;110:1945–57.

    Article  CAS  PubMed  Google Scholar 

  • Byrne TA, Wilmore DW, Iyer K, et al. Growth hormone, glutamine, and an optimal diet reduces parenteral nutrition in patients with short bowel syndrome. Ann Surg. 2005;242:655–61.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chu HP, Brind J, Tomar R, et al. Significant reduction in central venous catheter-related bloodstream infections in children on HPN after starting treatment with Taurolidine line lock. JPGN. 2012;55:403–7.

    CAS  PubMed  Google Scholar 

  • Cisler JJ, Buchman AL. Intestinal adaptation in short bowel syndrome. J Investig Med. 2005;53:402–13.

    Article  CAS  PubMed  Google Scholar 

  • Cohran VC, Prozialeck JD, Cole CR. Redefining short bowel syndrome in the 21st century. Pediatr Res. 2017; https://doi.org/10.1038/pr.2016.265. [Epub ahead of print]

    Article  PubMed  Google Scholar 

  • Cole CR, Hansen NI, Higgins RD, et al. Very low birth weight preterm infants with surgical short bowel syndrome: incidence, morbidity and mortality, and growth outcome at 18 to 22 month. Pediantrics. 2008;122:e573–82.

    Article  Google Scholar 

  • Cole CR, Hansen NI, Higgins RD, et al. Bloodstream infections in very low birth weight infants with intestinal failure. J Pediatr. 2012;160:54–9.

    Article  PubMed  Google Scholar 

  • D’Antiga L, Goulet O. Intestinal failure in children: the European view. JPGN. 2013;2:118–26.

    Google Scholar 

  • De Greef E, Mahler T, Janssen A, et al. The influence of neocate in pediatric short bowel syndrome on PN weaning. J Nutr Metab. 2010:Article ID 297575. 6 pages

    Google Scholar 

  • Debongnie J, Philips S. Capacity of the human colon to absorb fluid. Gastroenterology. 1978;74:698–703.

    CAS  PubMed  Google Scholar 

  • Diamond IR, de Silva N, Pencharz PB, et al. Neonatal short bowel syndrome outcomes after establishment of the first Canadian multidisciplinary intestinal rehabilitation program: preliminary experience. J Pediatr Surg. 2007;42:806–11.

    Article  PubMed  Google Scholar 

  • Dore M, Junco PT, Moreno AA, et al. Ultrashort bowel syndrome outcome in children treated in a multidisciplinary intestinal rehabilitation unit. Eur J Pediatr Surg. 2017;27(1):116–20.

    Article  PubMed  Google Scholar 

  • Dorney SF, Ament ME, Berquist WE, et al. Improved survival in very short small bowelof infancy with use of long-term parenteral nutrition. J Pediatr. 1985;107:521–5.

    Article  CAS  PubMed  Google Scholar 

  • Eizaguirre I, Aldazabal P, Urkia NG, et al. Escherichia coli translocation in experimental short bowel syndrome: probiotic supplementation and detection by polymerase chain reaction. Pediatr Surg Int. 2011;27:1301–5.

    Article  PubMed  Google Scholar 

  • Fullerton BS, Sparks EA, Hall AM, et al. Enteral autonomy, cirrhosis, and long term transplant-free survival in pediatric intestinal failure patients. J Pediatr Surg. 2016;51(1):96–100.

    Article  PubMed  Google Scholar 

  • Georgeson K, Halpin D, Figueroa R, et al. Sequential intestinal lengthening procedures for refractory short bowel syndrome. J Pediatr Surg. 1994;29:316–20.

    Article  CAS  PubMed  Google Scholar 

  • Glick PL, de Lorimier AA, Ns A, et al. Colon interposition: an adjuvant operation for the short gut syndrome. J Pediatr Surg. 1984;19:719–25.

    Article  CAS  PubMed  Google Scholar 

  • Goulet O, Baglin-Gobet S, Talbotec C. Outcome and long-term growth after extensive small bowel resection in the neonatal period: a survey of 87 children. Eur J Pediatr Surg. 2005;15:95–101.

    Article  CAS  PubMed  Google Scholar 

  • Goulet O, Colomb-Jung V, Joly F. Role of the colon in short bowel syndrome and intestinal transplantation. JPGN. 2009;48(Suppl 2):S66–71.

    PubMed  Google Scholar 

  • Goulet O, Dabbas-Tyan M, Talbotec C, et al. Effect of recombinant human growth hormone on intestinal absorption and body composition in children with short bowel syndrome. JPEN. 2010;34:513–20.

    Article  CAS  Google Scholar 

  • Goulet O, Olieman J, Ksiazyk J, et al. Neonatal short bowel syndrome as a model of intestinal failure: physiological background for enteral feeding. Clin Nutr. 2013;32:162–71.

    Article  CAS  PubMed  Google Scholar 

  • Guo M, Li Y, Li J. Role of growth hormone, glutamine and enteral nutrition in pediatric short bowel syndrome: a pilot follow-up study. Eur J Pediatr Surg. 2012;22:121–6.

    Article  CAS  PubMed  Google Scholar 

  • Hadjittofi C, Coran AG, Mogilner JG, et al. Dietary supplementation with vitamin D stimulates intestinal epithelial cell turnover after massive small bowel resection in rats. Pediatr Surg Int. 2013;29:41–50.

    Article  PubMed  Google Scholar 

  • Hess RA, Welch KB, Brown PI, et al. Survival outcomes of pediatric intestinal failure patients. Analysis of factors contributing to improved survival over the past two decades. J Surg Res. 2011;170:27–31.

    Article  PubMed  Google Scholar 

  • Höllwarth ME. Short bowel syndrome: pathophysiological and clinical aspects. Pathophysiology. 1999;6:1–19.

    Article  Google Scholar 

  • Höllwarth ME. Surgical strategies in short bowel syndrome. Pediatr Surg Int. 2017;33:413–419.

    Google Scholar 

  • Höllwarth ME, Granger DN, Ulrich-Baker MG, et al. Pharmacologic enhancement of adaptive growth after extensive small bowel resection. Pediatr Surg Int. 1988;3:55–61.

    Google Scholar 

  • Hsieh J, Longuet C, Maida A, et al. Glucagon-like peptide-2 increases intestinal lipid absorption and chylomicron production via CD36. Gastroenterology. 2009;137:997–1005.

    Article  CAS  PubMed  Google Scholar 

  • Iannoli P, Miller JH, Ryan CK, et al. Epidermal growth factor and human growth hormone accelerate adaptation after massive enterectomy in an additive, nutrient dependent, and site specific fashion. Surgery. 1997;122:721–9.

    Article  CAS  PubMed  Google Scholar 

  • Inoue Y, Copeland EM, Souba WW. Growth hormone enhances amino acid uptake by the human small intestine. Ann Surg. 1994;219:715–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Javid PJ, Malone FR, Dick AAS, et al. A contemporary analysis of parenteral nutrition- associated liver disease in surgical infants. J Pediatr Surg. 2011;46:1913–7.

    Article  PubMed  Google Scholar 

  • Javid PJ, Sanchez SE, Horslen SP, et al. Intestinal lengthening and nutritional outcomes in children with short bowel syndrome. Am J Surg. 2013;205:576–80.

    Article  PubMed  Google Scholar 

  • Jeppesen PB, Harmann B, Thulesen J, et al. Glucagon-like peptide 2 improves nutrient absorption and nutritional status in short bowel patients with no colon. Gastroenterology. 2001;120:806–15.

    Article  CAS  Google Scholar 

  • Jeppesen PB, Pertkiewicz M, Messing B, et al. Teduglutide reduces need for parenteral support among patients with short bowel syndrome with intestinal failure. Gastroenterology. 2012;143:1473–81.

    Article  CAS  PubMed  Google Scholar 

  • Johnson JR. The trophic action of gastrointestinal hormones. Gastroenterology. 1976;70:278–88.

    CAS  PubMed  Google Scholar 

  • Jones BA, Hull MA, Potanos KM, et al. Report of 111 consecutive patients enrolled in the international serial transverse enteroplasty (STEP) data registry: a retrospective observational study. J Am Coll Surg. 2013;216:438–46.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kanamori Y, Hashizume K, Sugiyama M, et al. Combination therapy with Bifidobacterium breve, Lactobacillus casei, and galactooligosaccharides dramatically improved the intestinal function in a girl with short bowel syndrome: a novel symbiotic therapy for intestinal failure. Dig Dis Sci. 2001;46:2010–6.

    Article  CAS  PubMed  Google Scholar 

  • Kang KHJ, Gutierrez IM, Zurakowski D, et al. Bowel re-dilatation following serial transverse enteroplasty (STEP). Pediatr Surg Int. 2012;28:1189–93.

    Article  PubMed  Google Scholar 

  • Kim HB, Lee PW, Garza J, et al. Serial transverse enteroplasty for short bowel syndrome: a case report. J Pediatr Surg. 2003;38:881–5.

    Article  PubMed  Google Scholar 

  • Kurkchubasche AG, Rowe MI, Smith SD. Adaptation in short bowel syndrome: reassessing old limits. J Pediatr Surg. 1993;28:1069–71.

    Article  CAS  PubMed  Google Scholar 

  • Kurz R, Sauer H. Treatment and metabolic findings in extreme short-bowel syndrome with 11 cm jejunal remnant. J Pediatr Surg. 1983;18:257–63.

    Article  CAS  PubMed  Google Scholar 

  • Madara JL, Trier JS. The functional morphology of the mucosa of the small intestine. In: Johnoson LR, editor. Physiology of the gastrointestinal tract. New York: Raven Press; 1994.

    Google Scholar 

  • Marino IR, Lauro A. Surgeon’s perspective on short bowel syndrome: Where are we? World J Transplant. 2018;8(6):198–202.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mayr JM, Schober PH, Weißensteiner U, et al. Morbidity and mortality of the short-bowel syndrome. Eur J Pediatr Surg. 1999;9:231–5.

    Article  CAS  PubMed  Google Scholar 

  • Meier JJ, Nauck MA, Pott A, et al. Glucagon-like peptide 2 stimulates glucagon secretion, enhances lipid absorption, and inhibits gastric acid secretion in humans. Gastroenterology. 2006;130:44–54.

    Article  CAS  PubMed  Google Scholar 

  • Miyasaka EA, Brown PI, Kadoura S, et al. The adolescent child with short bowel syndrome: new onset of failure to thrive and need for increased nutritional supplementation. J Pediatr Surg. 2010;45:1280–6.

    Article  PubMed  Google Scholar 

  • Mogilner JG, Srugo I, Lurie M, et al. Effect of probiotics on intestinal regrowth and bacterial translocation after massive small bowel resection in rats. J Pediatr Surg. 2007;42:1365–71.

    Article  PubMed  Google Scholar 

  • Mughal M, Irving M. Home parenteral nutrition in the United Kingdom and Ireland. Lancet. 1986;2:383–7.

    Article  CAS  PubMed  Google Scholar 

  • Nightingale JM, Walker ER, Burnham W, et al. Octreotide ( a somatostatin analogue) improves the quality of life in some patients with a short intestine. Aliment Pharmacol Ther. 1989;3:367–73.

    Article  CAS  PubMed  Google Scholar 

  • Nordgaard I, Hansen BST, Mortensen PB. Colon as digestive organ in patients with short bowel. Lancet. 1994;343:373–6.

    Article  CAS  PubMed  Google Scholar 

  • O’Brien DP, Nelson LA, Huang FS, et al. Intestinal adaptation: structure, function, and regulation. Semin Pediatr Surg. 2001;10:56–64.

    Article  PubMed  Google Scholar 

  • Olieman JF, Poley MJ, Gischler MJ, et al. Interdisciplinary management of infantile short bowel syndrome: resource consumption, growth, and nutrition. J Pediatr Surg. 2010;45:490–8.

    Article  PubMed  Google Scholar 

  • Olieman JF, Penning C, Poley MJ, et al. Impact of infantile short bowel syndrome on long-term health-related quality of life: a cross sectional study. J Pediatr Surg. 2012;47:1309–16.

    Article  PubMed  Google Scholar 

  • Oliveira SB, Cole CR. Insights into medical management of pediatric intestinal failure. Semin Pediatr Surg. 2018;27(4):256–60.

    Article  PubMed  Google Scholar 

  • Ordonez F, Barbot-Trystram L, Lacaille F, et al. Intestinal absorption rate in children after small intestinal transplantation. Am J Clin Nutr. 2013;97:743–9.

    Article  CAS  PubMed  Google Scholar 

  • Pakarinen MP, Kurvinen A, Koivusalo AI, et al. Long-term controlled outcomes after autologous intestinal reconstruction surgery in treatment of severe short bowel syndrome. J Pediatr Surg. 2013;48:339–44.

    Article  PubMed  Google Scholar 

  • Panis Y, Messing B, Rivet P, et al. Segmental reversal of the small bowel as an alternative to intestinal transplantation in patients with short bowel syndrome. Ann Surg. 1997;225:401–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Peretti N, Loras-Duclaux I, Kassai B, et al. Growth hormone to improve short bowel syndrome intestinal autonomy: a pediatric randomized open-label clinical trial. JPEN. 2011;35:723–31.

    Article  CAS  Google Scholar 

  • Peters JHC, Beishuizen A, Keur MB, et al. Assessment of small bowel function in critical illness: potential role of citrulline metabolism. J Intensive Care Med. 2011;26:105–10.

    Article  CAS  PubMed  Google Scholar 

  • Peterson J, Kerner JA. New advances in the management of children with intestinal failure. JPEN. 2012;36(Suppl 1):36S–42S.

    Article  Google Scholar 

  • Pierro A, van Saene HKF, Jones MO, et al. Clinical impact of abnormal gut flora in infants receiving parenteral nutrition. Ann Surg. 1998;227:547–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pironi L, Paganelli GM, Miglioli M, et al. Morphologic and cytoproliferative patterns of duodenal mucosa in two patients after long-term parenteral nutrition: changes with oral refeeding and relation to intestinal resection. JPEN. 1994;18:351–4.

    Article  CAS  Google Scholar 

  • Porus RL. Epithelial hyperplasia following massive bowel resection in man. Gastroenterology. 1965;48:753–7.

    CAS  PubMed  Google Scholar 

  • Puder M, Valim C, Meisl JA, et al. Parenteral fish oil improves outcomes in patients with parenteral nutrition-associated liver injury. Ann Surg. 2009;250:395–402.

    PubMed  PubMed Central  Google Scholar 

  • Pul M, Yilmaz N, Gürses N, et al. Enhancement by testosterone of adaptive growth after small bowel resection. Isr J Med Sci. 1991;27:339–42.

    CAS  PubMed  Google Scholar 

  • Ramos-Gonzalez G, Kim HB. Autologous intestinal reconstruction surgery. Semin Pediatr Surg. 2018;27(4):261–6.

    Article  PubMed  Google Scholar 

  • Raphael BP, Duggan CH. Prevention and treatment of intestinal failure-associated liver disease in children. Semin Liver Dis. 2012;32:341–7.

    Article  CAS  PubMed  Google Scholar 

  • Reddy VS, Patole SK, Rao S. Role of probiotics in short bowel syndrome in infants and children – a systematic review. Nutrients. 2013;5:679–99.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rhoads JM, Plunkett E, Galanko J, et al. Serum citrulline levels correlate with enteral tolerance and bowel length in infants with short bowel syndrome. J Pediatr. 2005;146:542–7.

    Article  CAS  PubMed  Google Scholar 

  • Rickham PP. Massive intestinal resection in newborn infants. Ann R Coll Surg. 1967;41:480–5.

    CAS  Google Scholar 

  • Ricotta J, Zuidema GD, Gadacz TR, et al. Construction of an ileocecal valve and its role in massive resection of the small intestine. Surg Gynecol Obstet. 1981;152:310–4.

    CAS  PubMed  Google Scholar 

  • Salloum RM, Stevens BR, Schultz GS, et al. Regulation of small intestine glutamine transport by epidermal growth factor. Surgery. 1993;113:552–9.

    CAS  PubMed  Google Scholar 

  • Schalamon J, Mayr JM, Höllwarth ME. Mortality and economics in short bowel syndrome. Best Pract Res Clin Gastroenterol. 2003;17:931–42.

    Article  CAS  PubMed  Google Scholar 

  • Schimpl G, GFeierl G, Linni K, et al. Bacterial translocation in short-bowel syndrome rats. Eur J Pediatr Surg. 1999;9:224–7.

    Article  CAS  PubMed  Google Scholar 

  • Seguy D, Vahedi K, Kapel N, et al. Low-dose growth hormone in adult home parenteral nutrition-dependent short bowel syndrome patients: a positive study. Gastroenterology. 2003;124:293–302.

    Article  CAS  PubMed  Google Scholar 

  • Sigalet DL. Short bowel syndrome in infants and children: an overview. Semin Pediatr Surg. 2001;10:49–55.

    Article  CAS  PubMed  Google Scholar 

  • Sommovilla J, Warner BW. Surgical options to enhance intestinal function in patients with short bowel syndrome. Curr Opin Pediatr. 2014;26(3):350–5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sondheimer JM, Cadnapaphornchai M, Sontag M, et al. Predicting the duration of dependence on parenteral nutrition after neonatal intestinal resection. J Pediatr. 1998;132:80–4.

    Article  CAS  PubMed  Google Scholar 

  • Spencer AU, Neaga A, West B, et al. Pediatric short bowel syndrome. Redefining predictors of success. Ann Surg. 2005;242:403–12.

    PubMed  PubMed Central  Google Scholar 

  • Stanger JD, Oliveira C, Blackmore C, et al. The impact of multi-disciplinary intestinal rehabilitation programs on the outcome of pediatric patients with intestinal failure: a systematic review and meta-analysis. J Pediatr Surg. 2013;48:983–92.

    Article  PubMed  Google Scholar 

  • Stringer MD, Putins JW. Short bowel syndrome. Arch Dis Child. 1995;73:170–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tappenden KA, Thomson ABR, Wild GE, et al. Short-chain fatty acid- supplemented total parenteral nutrition enhances functional adaptation to intestinal resection in rats. Gastroenterology. 1997;112:792–802.

    Article  CAS  PubMed  Google Scholar 

  • Thompson JS. Epidermal growth factor and the short bowel syndrome. JPEN. 1999;23(Suppl):S113–6.

    Article  CAS  Google Scholar 

  • Thompson JS, Langnas AN. Surgical approaches to improving intestinal function in the short- bowel syndrome. Arch Surg. 1999;134:706–9.

    Article  CAS  PubMed  Google Scholar 

  • Thompson JS, Pinch LW, Young R, et al. Long-term outcome of intestinal lengthening. Transplant Proc. 2000;32:1242–3.

    Article  CAS  PubMed  Google Scholar 

  • Touloukian RJ, Walker Smith GJ. Normal intestinal length in preterm infants. J Pediatr Surg. 1983;6:720–3.

    Article  Google Scholar 

  • Ulrich-Baker MG, Höllwaerth ME, Kvietys PR, et al. Blood flow response to small bowel resection. Am J Phys. 1986;251:G815–22.

    Article  CAS  Google Scholar 

  • Vanderhoof JA, Young RJ. Hydrolyzed versus nonhydrolyzed protein diet in short bowel syndrome in children. JPGN. 2004;38:107–8.

    PubMed  Google Scholar 

  • Vanderhoof JA, Park JHY, Herrington MK, et al. Effects of dietary menhaden oil on mucosal adaptation after small bowel resection in rats. Gastroenterology. 1994;106:94–9.

    Article  CAS  PubMed  Google Scholar 

  • Vanderhoof JA, Young RJ, Murray N, et al. Treatment strategies for small bowel bacterial overgrowth in short bowel syndrome. JPGN. 1998;27:155–60.

    CAS  PubMed  Google Scholar 

  • Vanderhoof JA, Young RJ, Thompson JS. New and emerging therapies for short bowel syndrome in children. Pediatr Drugs. 2003;5:525–31.

    Article  Google Scholar 

  • Vernon AH, Georgeson KE. Surgical options for short bowel syndrome. Semin Pediatr Surg. 2001;10:91–8.

    Article  CAS  PubMed  Google Scholar 

  • Vitek L, Carey MC. Enterohepatic cycling of bilirubin as a cause of “black” pigment gallstones in adult life. Eur J Clin Investig. 2003;33:799–810.

    Article  CAS  Google Scholar 

  • Wales PW, de Silva N, Kim J, et al. Neonatal short bowel syndrome: population-based estimates of incidence and mortality rates. J Pediatr Surg. 2004;39:690–5.

    Article  PubMed  Google Scholar 

  • Wales PW, Nasr A, de Silva N, et al. Human growth hormone and glutamine for patients with short bowel syndrome (review). Cochrane Database Syst Rev. 2010;6:1–29.

    Google Scholar 

  • Wales PW, Kosar C, Carricato M, et al. Ethanol lock therapy to reduce the incidence of catheter-related bloodstream infections in home parenteral nutrition patients with intestinal failure: preliminary experience. J Pediatr Surg. 2011;46:951–6.

    Article  PubMed  Google Scholar 

  • Wallander J, Ewald U, Läckgren G, et al. Extreme short bowel syndrome in neonates: an indication for small bowel transplantation? Transplant Proc. 1992;24:1230–5.

    CAS  PubMed  Google Scholar 

  • Wilmore DW. Factors correlating with a successful outcome following extensive intestinal resection in newborn infants. J Pediatr. 1972;80:88–95.

    Article  CAS  PubMed  Google Scholar 

  • Winsett DE, Ulshen DM, Hoyt EC, et al. Regulation and localisation of the insulin-like growth factor system in small bowel during altered nutritional status. Am J Phys. 1995;268:G631–40.

    Google Scholar 

  • Ziegler TR, Mantell MP, Chow JC, et al. Gut adaptation and the insulin-like growth factor system: regulation by glutamine and IGF-I administration. Am J Physiol. 1996;271:G866–75.

    CAS  PubMed  Google Scholar 

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  1. Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria

    Michael E. Höllwarth

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  1. Our Lady’s Children's Hospital, National Children’s Research Centre, Dublin, Ireland

    Prem Puri

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Höllwarth, M.E. (2019). Short Bowel Syndrome. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_80-2

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  1. Latest

    Short Bowel Syndrome
    Published:
    26 February 2019

    DOI: https://doi.org/10.1007/978-3-642-38482-0_80-2

  2. Original

    Short Bowel Syndrome
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    03 April 2017

    DOI: https://doi.org/10.1007/978-3-642-38482-0_80-1

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