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The Long Road to the Development of Effective Therapies for the Short Gut Syndrome: A Personal Perspective

  • Palle Bekker JeppesenEmail author
PARADIGM SHIFTS IN PERSPECTIVE

Abstract

The ability to provide parenteral support represents a revolutionary change in medical therapy for patients with temporary and inadequate intestinal absorptive capacity or for patients with chronic intestinal failure due to digestive diseases. Nevertheless, due to the rarity of intestinal failure, a de facto policy of “discrimination by organ failure treatment” exists in many countries whereby this problem is under-recognized and under-treated. With the increasing recognition of the pathophysiological consequences of intestinal resection and the occurrence of new pro-adaptive treatments for patients suffering from short bowel syndrome, this review reflects on the history of developments in this area and discusses current practice and future directions of the field.

Keywords

Intestinal resection Parenteral support Malabsorption Adaptation Glucagon-like peptide 2 Glucagon-like peptide 1 Somatostatin Growth hormone 

Notes

Compliance with Ethical Standards

Conflict of interest

P.B.J. has received grants/honoraria or consultation fees from: The Novo Nordisk Foundation, NPS Pharmaceuticals, Shire, Takeda, Ferring, GlyPharma, Therachon, VectiveBio, Naia Pharma, Albumedix, Baxter, Fresenius Kabi, ArTara Therapeutics.

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Authors and Affiliations

  1. 1.Department of Medical Gastroenterology and Hepatology 3163RigshospitaletCopenhagenDenmark

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