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Beyond Basics

This section is designed for the patient or physician who desires more technical information regarding various aspects of short bowel syndrome, including gastrointestinal physiology, the digestive process in SBS patients, common complications and therapies.

To understand short bowel syndrome (SBS) - what causes it, its associated complications, and how it is treated - it is important to understand the anatomy and function of the GI tract in general and the small intestine (small bowel) and colon (large bowel or large intestine) in particular.

Gastrointestinal (GI) Physiology - Normal Digestive Process in the Lower GI Tract
 
- Anatomy
  -  The Small Intestine
  -  The Colon
- Physiologic Process
  -  Motility
  -  Secretion
  -  Digestion
  -  Absorption
  -  Elimination
- Gastrointestinal (GI) Function
 

Several factors can affect the ability of the gut to absorb nutrients and fluids.

Factors Influencing Digestive Process in a Patient with SBS
 
- Extent of the Intestine Removed
- Site of Intestine Removed
- Ileocecal Valve
- Intestinal Adaptation
 

Short Bowel Syndrome patients can experience complications due to their condition and the treatment.

Chronic Complications
 
- Bacterial Overgrowth
- Diarrhea
  -  Cholerrheic Diarrhea
  -  Steatorrhea
  -  Osmotic Diarrhea
- Nutritional Deficiencies
  -  Vitamin and Mineral Deficiencies
 
- Vitamin B12
- Calcium and Magnesium
  -  Cholestasis
 

Depending on patient needs, physicians of SBS patients choose from a number of different common types of treatment.

Common Therapies
 
- Nutritional Therapy
  - Early Postoperative Stage
  - Gradual transition to continuous enteral feeding
  - Progression to Conventional Foods
  - Ongoing Management of the Complications of SBS
  - Vitamin and Mineral Supplements
- Drug Therapies
  - Diarrhea
  - Gastric Hyper Secretion
  - Pancreatic Enzymes
- Surgical Therapy
  - Nontransplant Operations
  - Transplantation
 

Managing SBS can be challenging. Any good management program starts with education.

Managing SBS

 

 

This information is provided as a general educational service
and is not intended to recommend any particular treatment plan
or to replace the advice of physicians. It is important that patients
seek and rely on the advice of a healthcare professional
about their individual medical conditions.

  
  
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