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Small Bowel Resection

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Illustrative Handbook of General Surgery

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Abstract

Small bowel resection is a common procedure which is performed for a wide variety of indications in all age groups. Multiple different techniques to accomplish a small bowel resection and anastomosis have developed over the last 200 years, including the open versus laparoscopic approach, single versus double layer, and hand-sewn versus stapled anastomosis. In general, the various surgical techniques are similar in outcome as long as common principles are followed: adequate exposure, gentle tissue handling, absence of tension, and adequate tissue oxygenation.

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References

  1. Chen C. The art of bowel anastomosis. Scand J Surg. 2012;101:238–40.

    Article  CAS  PubMed  Google Scholar 

  2. Tanner J, Norrie P, Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev. 2011;11:1–49.

    Google Scholar 

  3. Nelson RL, Gladman E, Barbateskovic M. Antimicrobial prophylaxis for colorectal surgery. Cochrane Database Syst Rev. 2014;5:1–262.

    Google Scholar 

  4. Yildiz BD. Where are we at with short bowel syndrome and small bowel transplant? World J Transpl. 2012;2(6):95–103.

    Article  Google Scholar 

  5. Burlew CC, Moore EE, Cuschieri J, Jurkovich GJ, Codner P, Crowell K, Nirula R, Haan J, Rowell SE, Kato CM, MacNew H, Ochsner MG, Harrison PB, Fusco C, Sauaia A, Kaups KL, The WTA Study Group. Sew it up! a western trauma association multi-institutional study of enteric injury management in the postinjury open abdomen. J Trauma. 2011;70:273–7.

    Article  PubMed  Google Scholar 

  6. Burch JM, Franciose RJ, Moore EE, Biffl WL, Offner PJ. Single-layer continuous versus two-layer interrupted intestinal anastomosis: a prospective randomized trial. Ann Surg. 2000;231(6):832–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Shikata S, Yamagishi H, Taji Y, Shimada T, Noguchi Y. Single- versus two- layer intestinal anastomosis: a meta-analysis of randomized controlled trials. BMC Surg. 2006;6:2.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Witzke JD, Kraatz JJ, Morken JM, Ney AL, West MA, Van Camp JM, Zera RT, Rodriguez JL. Stapled versus hand sewn anastomoses in patients with small bowel injury: a changing perspective. J Trauma. 2000;49:660–6.

    Article  CAS  PubMed  Google Scholar 

  9. Docherty JG, McGregor JR, Akyol AM, Murray GD, Galloway DJ. Comparison of manually constructed and stapled anastomoses in colorectal surgery. West of Scotland and Highland anastomosis study group. Ann Surg. 1995;221:176–84.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Milsom JW, Hammerhofer KA, Bohm B, Marcello P, Elson P, Fazio VW. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn’s disease. Dis Colon Rectum. 2001;44(1):1–8.

    Article  CAS  PubMed  Google Scholar 

  11. Duepree HJ, Senagore AJ, Delaney CP, Brady KM, Fazio VW. Advantages of laparoscopic resection for ileocolic Crohn’s disease. Dis Colon Rectum. 2002;45(5):605–10.

    Article  PubMed  Google Scholar 

  12. Arung W, Meurisse M, Detry O. Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–53.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Daly SC, Popoff AM, Fogg L, Francescatti AB, Myers JA, Millikan KW, Deziel DJ, Luu MB. Minimally invasive technique leads to decreased morbidity and mortality in small bowel resections compared to an open technique: an ACS-NSQIP identified target for improvement. J Gastrointest Surg. 2014;18:1171–5.

    Article  PubMed  Google Scholar 

  14. Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ. 2001;323:1–5.

    Article  Google Scholar 

  15. Andersen HK, Lewis SJ, Thomas S. Early enteral nutrition within 24 h of colorectal surgery versus later commencement of feeding for postoperative complications. Cochrane Database Syst Rev. 2006;4:1–31.

    Google Scholar 

  16. Beard TL, Leslie JB, Nemeth J. The opioid component of delayed gastrointestinal recovery after bowel resection. J Gastrointest Surg. 2011;15:1259–68.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Wisconsin, Madison, WI, USA

    Laura E. Fischer MD, MS

  2. Department of Surgery, University of Wisconsin School of Medicine and Public Health, H4/728 Clinical Science Center, 600 Highland Avenue, Madison, WI, 53792-7375, USA

    Luke M. Funk MD, MPH

Authors
  1. Laura E. Fischer MD, MS
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  2. Luke M. Funk MD, MPH
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Corresponding author

Correspondence to Luke M. Funk MD, MPH .

Editor information

Editors and Affiliations

  1. University of Wisconsin, Madison, Wisconsin, USA

    Herbert Chen

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© 2016 Springer International Publishing Switzerland

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Fischer, L.E., Funk, L.M. (2016). Small Bowel Resection. In: Chen, H. (eds) Illustrative Handbook of General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24557-7_19

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  • DOI: https://doi.org/10.1007/978-3-319-24557-7_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24555-3

  • Online ISBN: 978-3-319-24557-7

  • eBook Packages: MedicineMedicine (R0)

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