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Small Bowel and Colonic Dysfunction After Surgery

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Pediatric Neurogastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Surgery of the small intestine and colon is commonly performed in children for a variety of indications ranging from congenital anatomic abnormalities to need for enteral feeding access to underlying motility disorders. Under most circumstances, nonemergent operations allow time for a multidisciplinary team approach between surgeons and gastroenterologists to devise a thorough preoperative diagnostic strategy. Unfortunately, abdominal catastrophes such as malrotation with volvulus often preclude the luxury of time before surgery necessitating a strong relationship between surgeon and gastroenterologist to address the potential consequences of such an event. Under both circumstances, the motility of the small bowel and colon remains a critical feature that often predicts the success of an operation and, most importantly, the prognosis of the patient. This chapter aims to address several of the more prevalent motility disorders observed in children after small bowel and colonic surgery.

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Author information

Authors and Affiliations

  1. Pediatric Gastroenterology Department, Wake Forest University, Winston-Salem, NC, USA

    Roberto Gomez M.D.

  2. Pediatrics Department, Wake Forest University School of Medicine, Winston-Salem, NC, USA

    H. Nicole Lopez M.D.

  3. Department of Pediatrics, Wake Forest University, Medical Center Blvd, Winston-Salem, NC, 27157, USA

    John E. Fortunato M.D.

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  1. Roberto Gomez M.D.
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  2. H. Nicole Lopez M.D.
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  3. John E. Fortunato M.D.
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Corresponding author

Correspondence to John E. Fortunato M.D. .

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Editors and Affiliations

  1. Sainte-Justine Hospital, Department of Pediatrics, Division of Pediatric Gastroenterology, Université de Montréal, Montreal, H3T 1C5, Québec, Canada

    Christophe Faure

  2. Nationwide Children's Hospital, Division of Pediatric Gastroenterology, The Ohio State University, Columbus, 43205, Ohio, USA

    Carlo Di Lorenzo

  3. Gastroenterology and Neural Development, University College London, Institute of Child Health, Great Ormond Street Hospital for Children, London, WC1N 1EH, United Kingdom

    Nikhil Thapar

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Gomez, R., Lopez, H.N., Fortunato, J.E. (2013). Small Bowel and Colonic Dysfunction After Surgery. In: Faure, C., Di Lorenzo, C., Thapar, N. (eds) Pediatric Neurogastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-709-9_27

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  • DOI: https://doi.org/10.1007/978-1-60761-709-9_27

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  • Publisher Name: Humana Press, Totowa, NJ

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