Short Bowel Syndrome

  • Thomas Jaksic
  • Brian A. Jones
  • Melissa A. Hull
  • Shimae C. Fitzgibbons


To appreciate the complexities of short bowel syndrome, the disease should be thought of as a functional disorder rather than a simple anatomical abnormality. For this reason, many experts in the field now prefer the term intestinal failure (IF) as a more appropriate description of this syndrome. The true definition of IF is a reduction of the functional gut mass below the level needed to allow adequate digestion and absorption of enteral fluids, electrolytes, and nutrition to sustain hydration, electrolyte balance, and growth.


Parenteral Nutrition Short Bowel Syndrome Bacterial Overgrowth Intestinal Failure Intestinal Atresia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Andorsky DJ, Lund DP, Lillehei CW, Jaksic T, Dicanzio J, Richardson DS, et al. Nutritional and other postoperative management of neonates with short bowel syndrome correlates with clinical outcomes. J Pediatr. 2001;139(1):27–33.CrossRefPubMedGoogle Scholar
  2. Buchman AL. Etiology and initial management of short bowel syndrome. Gastroenterology. 2006;130:S5–15.CrossRefPubMedGoogle Scholar
  3. Ching YA, Gura K, Modi B, Jaksic T. Pediatric intestinal failure: nutrition, pharmacologic, and surgical approaches. Nutr Clin Pract. 2007;22(6):653–63.CrossRefPubMedGoogle Scholar
  4. Goulet O, Ruemmele F. Causes and management of intestinal failure in children. Gastroenterology. 2006;130:S16–28.CrossRefPubMedGoogle Scholar
  5. International STEP Data Registry. Accessed 25 Jan 2010.
  6. Modi BP, Langer M, Ching YA, Valim C, Waterford SD, Iglesias J, et al. Improved survival in a multidisciplinary short bowel syndrome program. J Pediatr Surg. 2008;43(1):20–4.CrossRefPubMedGoogle Scholar
  7. Spagnuolo MI, Iorio R, et al. Ursodeoxycholic acid for treatment of cholestasis in children on long-term parenteral nutrition: a pilot study. Gastroenterology. 1996;111:716–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Thomas Jaksic
    • 1
  • Brian A. Jones
  • Melissa A. Hull
  • Shimae C. Fitzgibbons
  1. 1.Department of Pediatric SurgeryChildren’s Hospital BostonBostonUSA

Personalised recommendations