Management of the Short Bowel Syndrome

Vitamin Serum Level Variations Between Cycles of Intermittent Parenteral Nutrition in Adult Patients With Short Bowel Syndrome

“…Patients with SBS are constantly exposed to situations that cause oxidative stress, such as infection, 2 , 30 presence of a totally implanted catheter, 31 and even the infusion of PN with lipids 26 , 27 . This situation of oxidative stress could explain a higher consumption of antioxidant agents such as vitamins C and E 32 .…”

“…Short bowel syndrome (SBS) occurs when a patient undergoes an intestine resection and <200 centimeters of functional small intestine is maintained. Patients with SBS have to deal with numerous healthcare provider recommendations, such as changes in behavior and lifestyle, changes in dietary habits, and the use of drugs to minimize diarrhea and clinical manifestations of nutrition deficiencies 1 , 2 . In the most severe cases, patients are not able to achieve their nutrition needs and become dependent on parenteral nutrition (PN) 3 to avoid nutrition deficiencies, such as xerophthalmia, 4 , 5 muscle weakness, 6 and neurological manifestations 7 …”

Clinical case and short review of extreme short bowel syndrome: an update 21 years after

“…Patients without functional colon whose remnant small intestinal length is <100 cm, and patients with a functional colon and <60 cm of small intestine remaining will usually be dependent on parenteral nutrition and/or intravenous fluid; ii) jejunal, as opposed to ileal, resections; in fact, the ileum adapts structurally and functionally, whereas the jejunum can adapt only functionally; iii) ileocecal valve sparing; in fact, the valve is an important regulator of intestinal transit speed and a physical barrier to anterograde flow of chyme from the large to small intestine. [8][9][10][11] Our patient did not have any of the above conditions accepted as being favorable to survival: in fact, the infant's residual small intestine was <25 cm (only [page 48] [Italian Journal of Medicine 2016; 10:543] Case Report 11 cm), no segment of the ileum remained, surgery included resection of part of the colon, and, finally, the ileocecal valve was not spared. Therefore the reported case is certainly of great interest in view of the patient's capacity to survive for many years after massive resection of the small intestine, despite several associated negative prognostic factors.…”

Factor V Leiden and superior mesenteric artery occlusion: A case study

“…To manage Jane's short bowel syndrome a strict, self-managed fluid balance chart will need to be maintained to control her risk of dehydration 5 . When rehydrating with IV therapy it is essential to monitor Jane's electrolytes as potassium and magnesium can be easily lost via the ileostomy as the small bowel re-absorbs fluids 5,31 . Jane was encouraged to sip on an oral electrolyte drink throughout the day.…”