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[Nutritional support in short bowel syndrome]
Dusica Simić1, Nebojsa Djurisić
1University Children's Hospital, Belgrade.
Srpski Arhiv Za Celokupno Lekarstvo
|November 12, 2003
Summary
Short bowel syndrome often follows bowel resection due to various causes. Current therapies help most patients achieve a normal body mass index and good quality of life.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Pediatric Surgery
Context:
- Short bowel syndrome (SBS) typically arises after extensive bowel resection, commonly for bowel necrosis.
- Other etiologies include vascular thrombosis, volvulus, necrotizing enterocolitis in children, Crohn's disease, and intestinal atresia.
- Risk factors for SBS severity include remaining bowel length, age at onset, colon length, ileocecal valve status, and time post-resection.
Purpose:
- To outline the common causes and risk factors associated with short bowel syndrome.
- To highlight the significant gastrointestinal and systemic complications beyond nutritional deficiencies.
- To emphasize the positive impact of current therapeutic strategies on patient outcomes.
Summary:
- SBS commonly results from bowel resection for necrosis, but also from thrombosis, volvulus, necrotizing enterocolitis, Crohn's disease, and atresia.
- Key factors influencing SBS risk and severity are identified, including remaining bowel length and age.
- Beyond malabsorption, complications like gastric acid hypersecretion, d-lactic acidosis, and stones necessitate management.
Impact:
- Effective management of SBS and its associated complications is crucial for patient well-being.
- Current therapeutic approaches enable most patients with short bowel syndrome to maintain a normal body mass index.
- Improved treatment strategies contribute significantly to a good quality of life for individuals with short bowel syndrome.