Short Bowel Syndrome

Short bowel syndrome is malabsorption after extensive small-bowel resection (Crohn/ischemia/trauma/mesenteric thrombosis), presenting with diarrhea, steatorrhea, dehydration, and malnutrition. Treatment: parenteral nutrition (TPN) initially; gradual enteral feeding; pancreatic enzyme replacement; bile-acid binders; antidiarrheals; GLP-2 analog (teduglutide) to enhance adaptation; growth hormones; small-bowel/liver transplant for TPN-dependent complications; monitor for line sepsis/liver failure; multidisciplinary long-term follow-up.

Common Symptoms

Diarrhea; steatorrhea; dehydration; malnutrition; post-resection

Causes and Pathogenesis

Massive small-bowel loss causes malabsorption and adaptive changes.

Treatment

TPN/enteral nutrition; PEP; teduglutide; transplant if TPN-dependent

Preventive Measures

Conserve bowel in surgery; early rehabilitation.

Department to Visit

It is recommended to visit the Gastroenterology/Gastrointestinal-surgery/Nutrition/Transplant department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.