Short bowel syndrome: Difference between revisions

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* Syndrome of malabsorption following resection of the small bowel
* Syndrome of malabsorption following resection of the small bowel


== Clinical Presentation ==
== Clinical Manifestations ==


* Severity depends on what was removed, how much was removed, whether the cecal valve was removed, whether any large bowel was removed, the presence of residual disease, and how well the remaining bowel has adapted
* Severity depends on what was removed, how much was removed, whether the cecal valve was removed, whether any large bowel was removed, the presence of residual disease, and how well the remaining bowel has adapted

Latest revision as of 13:12, 2 August 2020

Definition

  • Syndrome of malabsorption following resection of the small bowel

Clinical Manifestations

  • Severity depends on what was removed, how much was removed, whether the cecal valve was removed, whether any large bowel was removed, the presence of residual disease, and how well the remaining bowel has adapted
  • Bowel may adapt over 6 to 12 months following resection
  • Most notable symptom is diarrhea and steatorrhea
  • More likely to have calcium oxalate renal stones

Management

  • Manage nutritional status
  • Symptomatic management of diarrhea
  • For calcium oxalate renal stones: cholestyramine