| Topic: | Digestive Diseases (DD) |
| Title: | Clinical Management of Short-Bowel Syndrome. |
| Author: | Buchman, A.L.; Sellin, J. |
| Source: | In: Bayless, T.M. and Hanauer, S.B. Advanced Therapy of Inflammatory Bowel Disease. Hamilton, Ontario: B.C. Decker Inc. 2001. p. 479-484. |
| Availability: | Available from B.C. Decker Inc. 20 Hughson Street South, P.O. Box 620, L.C.D. 1 Hamilton, Ontario L8N 3K7. (905) 522-7017 or (800) 568-7281. Fax (905) 522-7839. Email: info@bcdecker.com. Website: www.bcdecker.com. PRICE: $129.00 plus shipping and handling. ISBN: 1550091220. |
| Abstract: | This chapter on the clinical management of short bowel syndrome is from the second edition of a book devoted to the details of medical, surgical, and supportive management of patients with Crohn's disease (CD) and ulcerative colitis (UC), together known as inflammatory bowel disease (IBD). Short bowel syndrome generally implies either malabsorption of the necessity for specific nutrient therapies. Short bowel syndrome can occur in patients with CD who undergo multiple intestinal resections (surgical removal of a piece). Depending upon the length and health of the remaining intestine, as well as the presence or absence of the ileocecal valve or colon, such patients may require various oral supplements, intravenous fluids, or even total parenteral nutrition (TPN). Bowel length may be difficult to determine because most commonly used methods such as barium contrast studies and intraoperative measurement are imprecise. In addition, there is significant individual variation in the adaptive response to differing lengths of residual intestine. Younger individuals, especially neonates, have a much greater capacity to adapt than adults. Complications of short-bowel syndrome include dehydration (which may result in uric acid nephrolithiasis, kidney stones), generalized malnutrition, electrolyte disturbances, specific nutrient deficiencies, calcium-oxalate nephrolithia-sis, and cholelithiasis (gallstones). Those patients with significant malabsorption requiring long-term TPN are at additional risk for hepatic steatosis (fatty liver) and cholestasis (an interruption of the flow of bile) with potential progression to cirrhosis (liver scarring), either acalculous or calculous cholecystitis (inflammed gallbladder), metabolic bone disease, nephropathy (kidney disease), and central venous catheter-related problems, including infection and occlusion (thrombotic and nonthrombotic; clotting or nonclotting). 10 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Digestive System Diseases. Inflammatory Bowel Disease. Crohns Disease. Patient Care Management. Postoperative Complications. Short Bowel Syndrome. |
| Minor Keywords: | Diagnostic Tests. Pathology. Symptoms. Risk Factors. Diagnosis. Malnutrition. Malabsorption Syndromes. Supplemental Feeding. Parenteral Nutrition. Kidney Stones. Gallstones. Intestines. Vitamins. Minerals. |
| Publication Number: | DDBK08646 |
| Return to Search Results | |