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short bowel syndrome
Etiology:
- resection of large portions of the small intestine
Pathology:
- loss of functional small intestin
- occurs when < 200 cm (2 meters) of healthy small intestine remains [2]
Clinical manifestations:
1) malabsorption, malnutrition
2) cramping
3) bloat
4) diarrhea
Complications:
- in the postoperative period, a surge in gastric acid can inactivate pancreatic lipase leading to diarrhea & possible ulceration of the remaining intestine [2]
Management:
- proton pump inhibitor for diarrhea in the postoperative period
- intestinal transplantation offered at a few centers
General
intestinal disease
syndrome
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18, 19.
American College of Physicians, Philadelphia 2012, 2015, 2018, 2021.
- Donohoe CL, Reynolds JV.
Short bowel syndrome.
Surgeon. 2010 Oct;8(5):270-9.
PMID: 20709285
- Short Bowel Syndrome
https://www.niddk.nih.gov/health-information/digestive-diseases/short-bowel-syndrome