Short Bowel Syndrome Flashcards
1
Q
Definition
A
Insufficient intestine to provide for the nutritional + fluid needs of pt
- Inadequate length
- inadequate function
- poor blood flow
2
Q
Cause
A
Not always crohn’s
3
Q
Types
1 + 2
A
10-15% pts undergoing intestinal surgery
4
Q
Types
3
A
Chronic intestinal failure
5
Q
Consequences (6)
A
Growth failure Malnutrition Electrolyte derangement Micronutrient deficiency Gallstones Diarrhoea - osmotic, intestinal adaptation may take >2y
6
Q
Treatment aims (4)
A
Reduce intestinal losses
Control diarrhoea
Maintain fluid + electrolyte balance
Treat + prevent medical complications
7
Q
Nutrition route
A
PN -> EN -> bolus -> oral intake
-> oral + EN -> oral/supplement
Or -> home TPN -> transplant
8
Q
Nutrition route:
Prolonged GI failure
A
PN is mandatory + lifesaving (esp early stages)
9
Q
Nutrition route:
If jejunum <100cm
A
Fluid + electrolytes by PN
10
Q
Nutrition route:
If jejunum <75cm or <50cm with functioning colon
A
Nutrition, fluid + electrolytes by PN
11
Q
Dietary treatment
A
PN
Frequent meals Increased energy intake B12 supplementation Other micronutrient deficiencies Avoid oxalate - coffee, rhubarb, spinach, tomatoes, chocolate
