Short Bowel Syndrome, SIBO and Microscopic Colitis

Question 1

Short Bowel Syndrome CxFx

Answer 1

diarrhea, dehydration, malnutrition and weight loss from steatorrhea.

Question 2

Short Bowel Syndrome key finding is

Answer 2

deficiency in vitamins A, D, E, K, B12, calcium, magnesium, iron, and zinc—making it look like celiac disease

Question 3

Short Bowel Syndrome Tx Diet

Answer 3

Diet that avoids high-fat foods

Vitamin supplementation

Question 4

Short Bowel Syndrome Tx

Answer 4

• Long-term intravenous hyperalimentation may be needed
• Loperamide to slow the bowel;
• teduglutide is a GLP agonist that slows the bowel and increases surface area

Question 5

Small Intestine Bacterial Overgrowth (SIBO) PAtho

Answer 5

progressive dilation of the small bowel as the body’s
adaptation to resection.

loss of the
ileocecal valve lets bacteria into the small bowel.

Question 6

Small Intestine Bacterial Overgrowth (SIBO Cx Fc

Answer 6

flatulence, bloating, diarrhea, and steatorrhea.

Question 7

SIBO Dx

Answer 7

small bowel aspirate with quantitative cultures.

Question 8

SIBO Tx

Answer 8

antibiotics (rifaximin first).

Question 9

Microscopic Colitis cx fx

Answer 9

chronic, nonbloody, watery diarrhea

Question 10

Microscopic Colitis Dx

Answer 10

normal colonoscopy,
BIOPSY= inflammation +-lymphocytic, collagenous, or mastocytic varieties.

hx of autoimmune disease

Question 11

Microscopic Colitis tx

Answer 11

steroids.