Inflammatory Bowel Disease and Short Bowel Syndrome

Surg Clin North Am. 2019 Dec;99(6):1209-1221. doi: 10.1016/j.suc.2019.08.010. Epub 2019 Sep 23.

Abstract

Short bowel syndrome / intestinal failure (SBS/IF) is a rare and debilitating disease process that mandates a multidisciplinary approach in its management. Inflammatory bowel disease (IBD), in particular Crohn's disease (CD), predisposes patients to development of SBS/IF. This review discusses SBS/IF from the perspective of IBD, with an emphasis on prevention and treatment in the setting of CD. The aims of this review are to emphasize the unique treatment goals of the newly diagnosed SBS/IF patient, and highlight the role of both medical and surgical therapies in the management of IBD-related SBS/IF, including intestinal transplantation.

Keywords: Crohn’s disease; Inflammatory bowel disease; Intestinal failure; Short bowel syndrome; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Colitis, Ulcerative / complications
  • Colitis, Ulcerative / diagnosis
  • Colitis, Ulcerative / surgery
  • Conservative Treatment / methods
  • Crohn Disease / complications
  • Crohn Disease / diagnosis
  • Crohn Disease / surgery
  • Female
  • Humans
  • Inflammatory Bowel Diseases / complications
  • Inflammatory Bowel Diseases / pathology
  • Inflammatory Bowel Diseases / surgery*
  • Intestines / transplantation*
  • Male
  • Prognosis
  • Recovery of Function
  • Reoperation / methods
  • Risk Assessment
  • Short Bowel Syndrome / etiology*
  • Short Bowel Syndrome / physiopathology
  • Short Bowel Syndrome / therapy*