Highlights & Basics
- Short bowel syndrome typically presents as a consequence of extensive bowel resection.
- The intestine may adapt over time to be more efficient at nutrient absorption; the extent of adaptation determines the extent of recovery.
- Treatment and prognosis are dependent on the length, health, and anatomy of the remaining bowel.
- Management includes electrolyte and fluid replacement, provision of adequate macronutrients, and prevention and treatment of micronutrient deficiencies during intestinal adaptation.
- Primary anastomosis of residual small bowel to colon, when possible, is the most important surgical procedure to reduce the need for parenteral nutrition (PN).
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History & Exam
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Definition
Epidemiology
Etiology
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Citations
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Cuerda C, Pironi L, Arends J, et al. ESPEN practical guideline: clinical nutrition in chronic intestinal failure. Clin Nutr. 2021 Sep;40(9):5196-220.[Abstract][Full Text]
Buchman AL. Short bowel syndrome. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's gastrointestinal and liver disease. 11th ed. Philadelphia, PA: Saunders; 2020.
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