Table 1.
Species | Type of Surgical Intervention | Feasibility, Technical Challenges, and Clinical Relevance | References |
---|---|---|---|
Mice | Proximal: 50% jejunal resection with jejunoileal anastomosis | Adult, 8–12 wk old: The model does not mimic human SBS; tolerates oral feeding with potential for long-term follow-up; PN not reported; genetic models and reporter mice are available | 99, 173 |
Distal: Ileocecal resection with jejunocolic anastomosis | Adult, 8–12 wk old: Mimics human SBS with distal bowel resection that tolerates EN; potential for long-term follow-up; PN not reported; genetic models and reporter mice are available | 51, 101 | |
Rats | Proximal: 30–90% jejunoileal resection with jejunoileal anastomosis | Adult, 8–10 wk old: Most common rat resection model; tolerate oral feeding; potential for long-term follow-up after growth factor and EN interventions; does not mimic PN-dependent human SBS | 47, 49, 151 |
Distal: 50–60% jejunoileal-cecal resection with jejunocolic anastomosis | Adult, 8–10 wk old: EN and PN required; mimics human PN-dependent SBS; weaning from PN with combination treatments of EN + growth factors; technical complexity in maintaining PN | 22, 77, 137 | |
Weanling, 20 day old: Tolerates oral feeding with diarrhea and hyperphagia; good model to evaluate EN strategies with relevance to human neonatal SBS; PN not feasible | 272, 273 | ||
Pigs | 75–95% jejunal resection, jejunoileal anastomosis | Young pigs: Clinically stable, long-term follow-up possible; nutrition support with growth factors, PN, EN or combinations; limited translational relevance for SBS in infants | 177, 197, 215 |
75% jejunoileal resection, jejunocolic anastomosis | Newborn pigs (<1 wk): Maladaptation, clinical challenges (sepsis, dehydration), short and longer term follow-up with PN, EN, growth factors, mimics term infant SBS with anastomosis | 104, 234, 247 | |
50% jejunoileal resection with jejunostomy | Preterm/term newborn pigs: Maladaptation, clinical challenges (sepsis, dehydration, dysmaturation); mimics NEC-sensitive SBS infants on PN; short-term follow-up and balance studies possible | 7, 245, 252 |
SBS, short bowel syndrome; PN, parenteral nutrition; EN, enteral nutrition; NEC, necrotizing enterocolitis.