Short bowel syndrome secondary prevention

Jump to navigation Jump to search

Short bowel syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Short bowel syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Short bowel syndrome secondary prevention On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Short bowel syndrome secondary prevention

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Short bowel syndrome secondary prevention

CDC on Short bowel syndrome secondary prevention

Short bowel syndrome secondary prevention in the news

Blogs on Short bowel syndrome secondary prevention

Directions to Hospitals Treating Short bowel syndrome

Risk calculators and risk factors for Short bowel syndrome secondary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

There are no established measures for the secondary prevention of [disease name].

OR

Effective measures for the secondary prevention of [disease name] include [strategy 1], [strategy 2], and [strategy 3].

Secondary Prevention

  • There are several ways to prevent complications of short bowel syndrome.
  • Management strategies and regular follow-up is needed to find and treat complications accordingly.

Management

    • Effective measures for the secondary prevention of liver disease following TPN include:[1]
      • High calorie diet including less than 30% fat
      • Treating nutrient deficiencies
      • Treating small bowel bacterial overgrowth
      • Ursodeoxycholic acid
      • Regular monitoring of liver function tests
      • Hepatobiliary ultrasound
      • Liver biopsy
    • Effective measures for the secondary prevention of cholelithiasis following TPN include:[1]
      • Initiating enteric nutrition whenever feasible
      • Intermittent cholecystokinin and lipids injections
      • Prophylactic cholecystectomy
    • Effective measures for the secondary prevention of kidney stone following TPN include:[1]
      • Low oxalate diet
      • Minimizing intraluminal fat
      • Providing calcium supplements
      • Maintaining a high urinary volume
      • Cholestyramine
    • Effective measures for the secondary prevention of small bowel bacterial overgrowth following TPN include:[1]
      • Long term antibiotic therapy
    • Effective measures for the secondary prevention of lactic acidosis include:[2]
      • Hydration
      • Antibiotic therapy
    • Effective measures for the secondary prevention of osteoporosis include:

Follow-up

  • Close long-term follow-up is needed.
  • Monitoring and measuring blood levels of nutrients are required.[2]

Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome.

Complication Measurement Frequency
Acute Phase
Maintenance Phase
Clinic visit Every 6 to 12 months
Malnutrition Essential fatty acids Every 3-6 months
Malnutrition Vitamin levels Every 3-6 months
Malnutrition Minerals Every 3-6 months
Liver disease Liver function tests
Osteoporosis Dual-energy x-ray absorptiometry scan   Every 2 years

References

  1. 1.0 1.1 1.2 1.3 Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
  2. 2.0 2.1 Wilmore, Douglas W.; Robinson, Malcolm K. (2014). "Short Bowel Syndrome". World Journal of Surgery. 24 (12): 1486–1492. doi:10.1007/s002680010266. ISSN 0364-2313.

Template:WH Template:WS