Abstract
Short bowel syndrome (SBS) is defi ned as malabsorption due to insuffi cient 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 effi cient absorption. Overall, the most important aspects of the management of patients with SBS are to provide adequate nutrition, and to provide suffi cient fl uid and electrolytes to prevent dehydration. Anastomosis 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 language | English (US) |
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Title of host publication | Practical Gastroenterology and Hepatology |
Subtitle of host publication | Small and Large Intestine and Pancreas |
Publisher | Wiley-Blackwell |
Pages | 262-269 |
Number of pages | 8 |
ISBN (Electronic) | 9781444328417 |
ISBN (Print) | 9781405182744 |
State | Published - Aug 31 2010 |
ASJC Scopus subject areas
- General Medicine