June 10, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.05.024

DREAM Promotes Intestinal Adaptation and Restores Enterohepatic Signaling in Short Bowel Syndrome

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The authors investigate the efficacy of DREAM (Distal Recirculation of Enteral contents Augmented Mechanically) in promoting intestinal adaptation and restoring enterohepatic signaling in short bowel syndrome (SBS), a condition that leads to malabsorption and liver disease. Their findings demonstrate that DREAM significantly improves growth, intestinal morphology, and gut-liver homeostasis while preventing intestinal and hepatic injury associated with SBS, suggesting it as a promising therapeutic approach for enhancing enteral nutrition in affected patients.

Shaurya Mehta, Kento Kurashima, Chandrashekhara Manithody, Takahiro Ohkura, Sylvia Morfin, Ashlesha Bagwe, Marzena Syn, Austin Sims, Sree Kolli, Connor Whalen, Aditya Jain, Miguel Guzman, Sherri Besmer, Sonali Jain, Paula Buchanan, Keith Pereira, Chien-Jung Lin, Bolette Hartmann, Jens J Holst, John Long, Shin Miyata, Matthew McHale, Chelsea Hutchinson, Ajay Kumar Jain

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