Abstract
The past three decades have endorsed tremendous growth in the nutritional, medical, and surgical management of patients with complex abdominal pathology and gastrointestinal failure. As efforts to conservatively rehabilitate reached a plateau, innovative surgical techniques were developed to further enhance absorption, facilitate motility, and restore homeostasis to limited, diseased, or disordered bowel. Surgical strategies are highly individualized and are guided by the type of gut failure, residual gut anatomy, and surgical candidacy. Patient selection and evaluation is thoroughly discussed, and a new classification for surgical candidates with gut failure is introduced to guide the development of an optimal therapeutic plan.
References
Abu-Elmagd K (2008) Intestinal transplantation: indications and patient selection. In: Langnas AN, Goulet O, Quigley EM, Tappenden KA (eds) Intestinal failure: diagnosis, management and transplantation, 3rd edn. Blackwell Publishing, Chichester, pp 245–253
Abu-Elmagd K (2015) The concept of gut rehabilitation and the future of visceral transplantation. Nat Rev Gastroenterol Hepatol 12:108–120
Abu-Elmagd KM, Costa G, McMichael D et al (2015) Autologous reconstruction and visceral transplantation for management of patients with gut failure after bariatric surgery: 20 years of experience. Ann Surg 262:586–601
Abu-Elmagd K, Costa G, Abdulrahman H et al (2017a) Gut failure and surgical ingenuity: over five hundred open restorative procedures at a single center. Transplantation 101(S6-2):S44
Abu-Elmagd K, Khanna A, Fujiki M, Hashimoto K, El-Gazzaz G, Shatnawei A, Costa G (2017b) Surgery for gut failure: auto-reconstruction and allo-transplantation. In: Fazio V, Church JM, Delaney CP, Kiran RP (eds) Current therapy in colon and rectal surgery. Elsevier, Philadelphia, pp 372–384
Boukerrouche A (2013) Left colonic graft in esophageal reconstruction for caustic stricture: mortality and morbidity. Dis Esophagus 26:788–793
Calvert CR, Lal S (2011) Approaches to intestinal failure in Crohn’s disease: nutrition in inflammatory bowel disease. Proc Nutr Soc 70:336–341
Costa G, Cruz RJ, Abu-Elmagd KM (2010) Surgical shunt versus TIPS for treatment of variceal hemorrhage in the current era of liver and multivisceral transplantation. Surg Clin N Am 90:891–905
Frasier LL, Leverson G, Gosain A, Greenberg J (2015) Laparoscopic versus open Ladd’s procedure for intestinal malrotation in adults. Surg Endosc 29:1598–1604
Lal S, Teubner A, Shaffer JL (2006) Review article: intestinal failure. Aliment Pharmacol Ther 24:19–31
Layec S, Beyer L, Corcos O et al (2013) Increased intestinal absorption by segmental reversal of the small bowel in adult patients with short-bowel syndrome: a case-control study. Am J Clin Nutr 97(1):100–108
Osman M, Fujiki M, Khanna A, Costa G, Abu-Elmagd K (2017) Piecemeal enterectomy and tumor debulking: a novel technique for advanced mesenteric desmoid tumors. Transplantation 101(S6-2):S111
Quintini C, Ward G, Shatnawei A et al (2012) Mortality of intra-abdominal desmoid tumors in patients with familial adenomatous polyposis. Ann Surg 255:511–516
Schneider V, Lee LD, Stroux A et al (2016) Risk factors for reoperation after ileostomy reversal – results from a prospective cohort study. Int J Surg 36:233–239
Sogawa H, Costa G, Bond GJ, et al (in Press) Intestinal and multivisceral transplantation for management of chronic intestinal pseudo-obstruction (CIPO): twenty years of single center experience
Sudan D, Rege A (2014) Update on surgical therapies for intestinal failure. Curr Opin Organ Transplant 19:267–275
Sudan D, Thompson J, Botha J et al (2007) Comparison of intestinal lengthening procedures for patients with short bowel syndrome. Ann Surg 246:593–604
Thompson JS (2004) Surgical rehabilitation of intestine in short bowel syndrome. Surgery 135:465–470
Thompson JS, Pinch LW, Young R, Vanderhoof JA (2000) Long-term outcome of intestinal lengthening. Transplant Proc 32:1242–1243
Tzakis AG, Pararas NB, Tekin A et al (2012) Intestinal and multivisceral autotransplantation for tumors of the root of the mesentery: long-term follow up. Surgery 152:82–89
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this entry
Cite this entry
Parekh, N., Abu-Elmagd, K. (2018). Recent Evolution of Gut Rehabilitation. In: Shah, A., Doria, C. (eds) Contemporary Small Bowel Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-05547-3_4-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-05547-3_4-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-05547-3
Online ISBN: 978-3-319-05547-3
eBook Packages: Springer Reference MedicineReference Module Medicine