Carbohydrate versus fat in the dietary treatment of short-bowel syndrome

The importance of the human colon in energy salvage has been documented again in a recent clinical study. Patients with short-bowel syndrome can be divided into two groups: those with colon and those without colon in continuity. While a high-carbohydrate, low-fat diet appears to be of nutritional benefit to the former group, dietary restrictions and reduction of fat intake are not effective in reducing intestinal energy loss in the latter group.