Short bowel syndrome laboratory findings: Difference between revisions
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Laboratory findings consistent with the diagnosis of short bowel syndrome include anemia, hypoalbuminemia, low level of vitamins, | Laboratory findings consistent with the diagnosis of short bowel syndrome include anemia, hypoalbuminemia, low level of vitamins, | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
*Laboratory findings consistent with the diagnosis of short bowel syndrome include: | *Laboratory findings consistent with the diagnosis of short bowel syndrome include:<ref name="Wall2013">{{cite journal|last1=Wall|first1=Elizabeth A.|title=An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations|journal=Journal of the Academy of Nutrition and Dietetics|volume=113|issue=9|year=2013|pages=1200–1208|issn=22122672|doi=10.1016/j.jand.2013.05.001}}</ref><ref name="BoteyAlastrué2017">{{cite journal|last1=Botey|first1=Mireia|last2=Alastrué|first2=Antonio|last3=Haetta|first3=Henrik|last4=Fernández-Llamazares|first4=Jaume|last5=Clavell|first5=Arantxa|last6=Moreno|first6=Pau|title=Long-Term Results of Serial Transverse Enteroplasty with Neovalve Creation for Extreme Short Bowel Syndrome: Report of Two Cases|journal=Case Reports in Gastroenterology|volume=11|issue=1|year=2017|pages=229–240|issn=1662-0631|doi=10.1159/000452734}}</ref><ref name="ThompsonWeseman2011">{{cite journal|last1=Thompson|first1=Jon S.|last2=Weseman|first2=Rebecca|last3=Rochling|first3=Fedja A.|last4=Mercer|first4=David F.|title=Current Management of the Short Bowel Syndrome|journal=Surgical Clinics of North America|volume=91|issue=3|year=2011|pages=493–510|issn=00396109|doi=10.1016/j.suc.2011.02.006}}</ref><ref name="pmid11873098">{{cite journal |vauthors=Sundaram A, Koutkia P, Apovian CM |title=Nutritional management of short bowel syndrome in adults |journal=J. Clin. Gastroenterol. |volume=34 |issue=3 |pages=207–20 |year=2002 |pmid=11873098 |doi= |url=}}</ref><ref name="BechtoldMcClave2014">{{cite journal|last1=Bechtold|first1=Matthew L.|last2=McClave|first2=Stephen A.|last3=Palmer|first3=Lena B.|last4=Nguyen|first4=Douglas L.|last5=Urben|first5=Lindsay M.|last6=Martindale|first6=Robert G.|last7=Hurt|first7=Ryan T.|title=The Pharmacologic Treatment of Short Bowel Syndrome: New Tricks and Novel Agents|journal=Current Gastroenterology Reports|volume=16|issue=7|year=2014|issn=1522-8037|doi=10.1007/s11894-014-0392-2}}</ref><ref name="DiBaiseYoung2004">{{cite journal|last1=DiBaise|first1=John K.|last2=Young|first2=Rosemary J.|last3=Vanderhoof|first3=Jon A.|title=Intestinal Rehabilitation and the Short Bowel Syndrome: Part 1|journal=The American Journal of Gastroenterology|volume=99|issue=7|year=2004|pages=1386–1395|issn=0002-9270|doi=10.1111/j.1572-0241.2004.30345.x}}</ref><ref name="DiBaiseYoung2004">{{cite journal|last1=DiBaise|first1=John K.|last2=Young|first2=Rosemary J.|last3=Vanderhoof|first3=Jon A.|title=Intestinal Rehabilitation and the Short Bowel Syndrome: Part 2|journal=The American Journal of Gastroenterology|volume=99|issue=9|year=2004|pages=1823–1832|issn=0002-9270|doi=10.1111/j.1572-0241.2004.40836.x}}</ref><ref name="KellerPanter2004">{{cite journal|last1=Keller|first1=Jutta|last2=Panter|first2=Heidi|last3=Layer|first3=Peter|title=Management of the short bowel syndrome after extensive small bowel resection|journal=Best Practice & Research Clinical Gastroenterology|volume=18|issue=5|year=2004|pages=977–992|issn=15216918|doi=10.1016/S1521-6918(04)00060-5}}</ref><ref name="Tappenden2014">{{cite journal|last1=Tappenden|first1=Kelly A.|title=Pathophysiology of Short Bowel Syndrome|journal=Journal of Parenteral and Enteral Nutrition|volume=38|issue=1_suppl|year=2014|pages=14S–22S|issn=0148-6071|doi=10.1177/0148607113520005}}</ref><ref name="EçaBarbosa2016">{{cite journal|last1=Eça|first1=Rosário|last2=Barbosa|first2=Elisabete|title=Short bowel syndrome: treatment options|journal=Journal of Coloproctology|volume=36|issue=4|year=2016|pages=262–272|issn=22379363|doi=10.1016/j.jcol.2016.07.002}}</ref><ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | ||
**[[Complete blood count]] (CBC) may show: | **[[Complete blood count]] (CBC) may show: | ||
***[[Anemia]] either [[Microcytic anemia|microcytic]] or [[Macrocytic anemia|macrocytic]] | ***[[Anemia]] either [[Microcytic anemia|microcytic]] or [[Macrocytic anemia|macrocytic]] |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Laboratory findings consistent with the diagnosis of short bowel syndrome include anemia, hypoalbuminemia, low level of vitamins,
Laboratory Findings
- Laboratory findings consistent with the diagnosis of short bowel syndrome include:[1][2][3][4][5][6][6][7][8][9][10]
- Complete blood count (CBC) may show:
- Anemia either microcytic or macrocytic
- Low level of albumin
- High level of acute phase reactant
- High C-reactive protein (CRP)
- High erythrocyte sedimentation rate (ESR)
- Liver function test
- High aspartate aminotransferase (AST)
- High alanine aminotransferase (ALT)
- High serum bilirubin
- Blood chemistry profile
- High blood urea nitrogen (BUN)
- High serum creatinine
- Low sodium
- Low potassium
- Low chloride
- Low calcium
- Low magnesium
- Low phosphorus
- Low zinc
- Low chromium
- Low selenium
- Vitamin and mineral levels in the blood
- Low level of vitamin A
- Low level of vitamin B12
- Low level of vitamin C
- Low level of vitamin D
- Low level of vitamin E
- Low level of vitamin K
- Low Iron
- Low folic acid
- High fecal fat
- Complete blood count (CBC) may show:
References
- ↑ Wall, Elizabeth A. (2013). "An Overview of Short Bowel Syndrome Management: Adherence, Adaptation, and Practical Recommendations". Journal of the Academy of Nutrition and Dietetics. 113 (9): 1200–1208. doi:10.1016/j.jand.2013.05.001. ISSN 2212-2672.
- ↑ Botey, Mireia; Alastrué, Antonio; Haetta, Henrik; Fernández-Llamazares, Jaume; Clavell, Arantxa; Moreno, Pau (2017). "Long-Term Results of Serial Transverse Enteroplasty with Neovalve Creation for Extreme Short Bowel Syndrome: Report of Two Cases". Case Reports in Gastroenterology. 11 (1): 229–240. doi:10.1159/000452734. ISSN 1662-0631.
- ↑ Thompson, Jon S.; Weseman, Rebecca; Rochling, Fedja A.; Mercer, David F. (2011). "Current Management of the Short Bowel Syndrome". Surgical Clinics of North America. 91 (3): 493–510. doi:10.1016/j.suc.2011.02.006. ISSN 0039-6109.
- ↑ Sundaram A, Koutkia P, Apovian CM (2002). "Nutritional management of short bowel syndrome in adults". J. Clin. Gastroenterol. 34 (3): 207–20. PMID 11873098.
- ↑ Bechtold, Matthew L.; McClave, Stephen A.; Palmer, Lena B.; Nguyen, Douglas L.; Urben, Lindsay M.; Martindale, Robert G.; Hurt, Ryan T. (2014). "The Pharmacologic Treatment of Short Bowel Syndrome: New Tricks and Novel Agents". Current Gastroenterology Reports. 16 (7). doi:10.1007/s11894-014-0392-2. ISSN 1522-8037.
- ↑ 6.0 6.1 DiBaise, John K.; Young, Rosemary J.; Vanderhoof, Jon A. (2004). "Intestinal Rehabilitation and the Short Bowel Syndrome: Part 1". The American Journal of Gastroenterology. 99 (7): 1386–1395. doi:10.1111/j.1572-0241.2004.30345.x. ISSN 0002-9270.
- ↑ Keller, Jutta; Panter, Heidi; Layer, Peter (2004). "Management of the short bowel syndrome after extensive small bowel resection". Best Practice & Research Clinical Gastroenterology. 18 (5): 977–992. doi:10.1016/S1521-6918(04)00060-5. ISSN 1521-6918.
- ↑ Tappenden, Kelly A. (2014). "Pathophysiology of Short Bowel Syndrome". Journal of Parenteral and Enteral Nutrition. 38 (1_suppl): 14S–22S. doi:10.1177/0148607113520005. ISSN 0148-6071.
- ↑ Eça, Rosário; Barbosa, Elisabete (2016). "Short bowel syndrome: treatment options". Journal of Coloproctology. 36 (4): 262–272. doi:10.1016/j.jcol.2016.07.002. ISSN 2237-9363.
- ↑ 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.