Bowel Repair / Bowel Resection

SOC → SCF-DBI Logic Translation

Purpose

Bowel Repair and Bowel Resection are surgical interventions performed to restore gastrointestinal continuity, control contamination, preserve intestinal viability, maintain nutrient absorption, and prevent progression toward systemic inflammatory and septic collapse.

In trauma, emergency general surgery, and ischemic bowel disease, these procedures are among the most critical interventions because the intestine functions as the body’s largest barrier organ and one of its most important immunometabolic interfaces.

SOC Definition

Clinical Objective

Manage bowel injury by:

• Repairing perforations
• Resecting nonviable bowel
• Restoring gastrointestinal continuity
• Preventing contamination
• Preserving bowel length
• Preventing sepsis

Common Indications

Traumatic Bowel Injury

Examples:

• Gunshot wounds
• Stab wounds
• Blunt bowel disruption
• Mesenteric injury

Bowel Ischemia

Examples:

• Mesenteric ischemia
• Strangulation
• Volvulus
• Internal hernia

Perforation

Examples:

• Diverticular perforation
• Ulcer perforation
• Iatrogenic perforation

Necrosis

Examples:

• Ischemic bowel
• Radiation injury
• Severe inflammatory disease

SCF-DBI Translation

Core Concept

SOC views Bowel Repair/Resection as:

Repair or removal of injured intestine.

SCF-DBI views Bowel Repair/Resection as:

Restoration of the Gastrointestinal Barrier-Regeneration Network (GBRN).

The objective extends beyond mechanical repair.

The objective is preservation of:

1. Barrier integrity
2. Nutrient absorption
3. Immune containment
4. Microbiome stability
5. Mesenteric perfusion
6. Anastomotic regenerative success

SCF-DBI Intestinal Failure Architecture

Domain 1

Gastrointestinal Barrier Failure

SOC Focus

Repair bowel injury.

SCF-DBI Focus

Restore intestinal barrier intelligence.

Failure Cascade

Bowel injury

↓

Barrier disruption

↓

Contamination

↓

Bacterial translocation

↓

Inflammatory amplification

↓

Endothelial activation

↓

Organ dysfunction

↓

Sepsis

SCF Classification

Gastrointestinal Barrier Failure Syndrome (GBFS)

A progressive physiologic collapse state caused by loss of intestinal containment and barrier integrity.

Output

Gastrointestinal Barrier Stability Score (GBSS)

Domain 2

Anastomotic Healing Intelligence Score

Major SCF-DBI Enhancement

Selected Enhancement:

Anastomotic Healing Intelligence Score (AHIS)

This becomes the principal SCF-DBI enhancement for bowel repair and bowel resection.

Rationale

SOC evaluates:

• Anastomotic integrity
• Leak occurrence
• Technical success

SCF-DBI evaluates:

The biologic probability of successful intestinal regeneration.

Anastomotic success depends upon:

• Perfusion
• Oxygen delivery
• Immune regulation
• Collagen synthesis
• Microbiome balance
• Endothelial recovery

Anastomotic Failure Cascade

Hypoperfusion

↓

Collagen disruption

↓

Inflammatory dysregulation

↓

Barrier failure

↓

Leak

↓

Sepsis

↓

Organ dysfunction

Assessment Domains

Healing States

Output

Anastomotic Healing Intelligence Score (AHIS)

Domain 3

Mesenteric Perfusion Preservation Mapping

SCF-DBI Enhancement

Bowel viability is determined by mesenteric circulation.

Assessment Domains

Output

Mesenteric Perfusion Preservation Score (MPPS-B)

Domain 4

Contamination Burden and Source-Control Intelligence

SOC

Prevent contamination.

SCF-DBI

Quantify contamination-related physiologic risk.

Assessment Domains

Output

Source-Control Effectiveness Score (SCES)

Domain 5

Microbiome Preservation and Recovery Assessment

SCF-DBI Enhancement

The bowel functions as the largest microbiologic ecosystem in the body.

Assessment Domains

Output

Microbiome Recovery Score (MRS-B)

Domain 6

Nutritional and Absorptive Reserve Mapping

SCF-DBI Enhancement

Bowel preservation directly affects long-term metabolic resilience.

Assessment Domains

Output

Absorptive Reserve Preservation Score (ARPS)

Domain 7

RHENOVA Gastrointestinal Recovery Matrix

SCF-DBI Enhancement

The objective is restoration of a functional gastrointestinal ecosystem.

Recovery Domains

Barrier Recovery

Functional Recovery

Immunometabolic Recovery

Output

RHENOVA Gastrointestinal Recovery Score (RGRS)

RHENOVA Integration

R1 — Survival Preservation

Control:

• Perforation
• Ischemia
• Contamination

Output:

Gastrointestinal Rescue Status

R2 — Recovery Optimization

Restore:

• Perfusion
• Barrier integrity
• Nutritional function

Output:

Recovery Readiness Score

R3 — Regenerative Preservation

Protect:

• Viable bowel
• Mesenteric circulation
• Microbiome architecture

Output:

Gastrointestinal Regeneration Profile

R4 — Functional Restoration

Achieve:

• Anastomotic healing
• Nutritional independence
• Barrier competence

Output:

Gastrointestinal Restoration Matrix

R5 — Long-Term Resilience

Prevent:

• Anastomotic leak
• Short bowel syndrome
• Chronic malabsorption
• Barrier dysfunction
• Recurrent sepsis

Output:

Gastrointestinal Resilience Profile

SCF-DBI Bowel Repair / Resection Workflow

Step 1

Identify bowel injury, ischemia, or perforation burden.

Output

Gastrointestinal Barrier Stability Score

Step 2

Perform bowel repair or bowel resection.

Output

Gastrointestinal Continuity Restoration Confirmation

Step 3

Activate Anastomotic Healing Intelligence Score.

Output

AHIS

Step 4

Assess mesenteric perfusion preservation.

Output

Mesenteric Perfusion Preservation Score

Step 5

Evaluate contamination and source-control effectiveness.

Output

Source-Control Effectiveness Score

Step 6

Assess microbiome recovery potential.

Output

Microbiome Recovery Score

Step 7

Evaluate absorptive reserve preservation.

Output

Absorptive Reserve Preservation Score

Step 8

Generate RHENOVA Gastrointestinal Recovery Matrix.

Output

RHENOVA Gastrointestinal Recovery Score

Glossary

SCF Principle Alignment

INDEX

SCF-SURG-BOWEL-REPAIR-0001

SCF-SURG-BOWEL-RESECTION-0001

SCF-DBI-GASTROINTESTINAL-BARRIER-FAILURE-SYNDROME-0001

SCF-DBI-ANASTOMOTIC-HEALING-INTELLIGENCE-SCORE-0001

SCF-DBI-MESENTERIC-PERFUSION-PRESERVATION-SCORE-B-0001

SCF-DBI-SOURCE-CONTROL-EFFECTIVENESS-SCORE-0001

SCF-DBI-MICROBIOME-RECOVERY-SCORE-B-0001

SCF-DBI-ABSORPTIVE-RESERVE-PRESERVATION-SCORE-0001

SCF-DBI-RHENOVA-GASTROINTESTINAL-RECOVERY-MATRIX-0001

SCF-BOWEL-INJURY-RECONSTRUCTION-WORKFLOW-0044

SCF-BOWEL-REPAIR-RESECTION-MASTER-0001