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[Short bowel syndrome].

T Horbach1

  • 1Chirurgische Klinik, Universitätsklinikum Erlangen, Krankenhausstrasse 12, 91054 Erlangen, Deutschland. horbach@chirurgie-erlangen.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|November 30, 2006
PubMed
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Short bowel syndrome (SBS) is a malabsorption disorder caused by a shortened bowel. Effective management requires a multidisciplinary approach focusing on nutritional status and quality of life.

Area of Science:

  • Gastroenterology
  • Nutritional Medicine
  • Surgical Reconstruction

Context:

  • Short bowel syndrome (SBS) is defined as a malabsorption disorder in adults with a residual bowel length less than 200 cm.
  • Symptom severity in SBS is influenced by the location of bowel resection, surgical reconstruction techniques, and the quality of nutritional, medical, and surgical interventions.
  • SBS is associated with numerous complications and deficiency symptoms requiring comprehensive management.

Purpose:

  • To outline the complexities of managing short bowel syndrome (SBS).
  • To emphasize the importance of nutritional assessment and intervention in SBS.
  • To highlight the therapeutic goals including preventing malnutrition and improving quality of life.

Summary:

  • Management of SBS depends on factors beyond residual bowel length, including anatomical location of resection and treatment quality.

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  • Nutritional medicine expertise is crucial for managing enteral/parenteral access, supplementation, pharmacological therapy, and surgical options.
  • Therapeutic aims include correcting malnutrition, restoring nutritional status, ensuring child development, minimizing complications (especially from parenteral nutrition), reducing diarrhea, and optimizing quality of life.

    • Impact:

    • Provides a framework for understanding and managing short bowel syndrome (SBS).
    • Underscores the critical role of nutritional medicine in optimizing patient outcomes.
    • Guides clinical practice towards improved quality of life for individuals with SBS.