Short Bowel Syndrome

David M. Shapiro*, Alan L. Buchman

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Short bowel syndrome (SBS) is defined as malabsorption due to insufficient intestinal surface area, with an inability to sustain an adequate nutritional, electrolyte or hydration status, in the absence of specialized nutritional support. In adults, it is typically the consequence of extensive bowel resection, with loss of absorptive surface area. Over time, the intestine can adapt in order to ensure more efficient absorption. Overall, the most important aspects of the management of patients with SBS are to provide adequate nutrition, and to provide sufficient fluid and electrolytes to prevent dehydration. Anastamosis of the residual small bowel to the colon is the most important surgical procedure, enhancing the ability of the colon to become an energy-absorptive organ, and allowing for decreased dependence on total parenteral nutrition (TPN). The prognosis for patients with SBS depends on the patient's age, the type and extent of bowel resection, along with the underlying disease and health of residual intestine.

Original languageEnglish (US)
Title of host publicationPractical Gastroenterology and Hepatology
Subtitle of host publicationSmall and Large Intestine and Pancreas
PublisherWiley Blackwell
Pages262-269
Number of pages8
ISBN (Print)9781405182744
DOIs
StatePublished - Aug 31 2010

Keywords

  • Enterectomy
  • Intestinal adaptation
  • Intestinal failure
  • Intestinal transplant
  • Jejunostomy
  • Malabsorption
  • Oral rehydration solution
  • Short bowel syndrome
  • Total parenteral nutrition

ASJC Scopus subject areas

  • Medicine(all)

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