Surgery
Volume 26, Issue 8 , Pages 338-342, August 2008

Disorders of the small bowel

Rawya Badreldin MD MRCP is a Consultant Gastroenterologist at James Paget Hospital, Norfolk, UK. Conflicts of interest: none declared

Timothy Bowling MD FRCP is a Consultant in Gastroenterology and Clinical Nutrition at University Hospital, Nottingham, UK. Conflicts of interest: none declared

Abstract 

This article provides a summary of common and important disorders affecting the small bowel, their investigation and management.The small bowel is the primary organ where the vast majority of digestion and assimilation of nutrients occurs, and as such, small bowel disease often presents with weight loss and diarrhoea. Small bowel disorders include Crohn’s disease, coeliac disease, bacterial overgrowth and iatrogenic causes such as short bowel syndrome and radiation enteritis. Other presentations are central abdominal pain, anaemia and uncommonly gastrointestinal bleeding. Surgical presentations are usually with small bowel obstruction due to adhesions, intussusception (especially in children), fibrotic and inflammatory strictures and gastrointestinal bleeding. (102).

Keywords: jejunostomy, mesenteric ischaemia, radiation enteritis, Short bowel

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PII: S0263-9319(08)00115-4

doi:10.1016/j.mpsur.2008.05.012

Surgery
Volume 26, Issue 8 , Pages 338-342, August 2008