Short bowel syndrome secondary prevention: Difference between revisions
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***Liver biopsy | ***Liver biopsy | ||
**Effective measures for the secondary prevention of cholelithiasis following TPN include:<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> | **Effective measures for the secondary prevention of cholelithiasis following TPN include:<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> | ||
***Initiating | ***Initiating enteral nutrition whenever feasible | ||
***Intermittent cholecystokinin and lipids injections | ***Intermittent cholecystokinin and lipids injections | ||
***Prophylactic cholecystectomy | ***Prophylactic cholecystectomy | ||
| Line 44: | Line 44: | ||
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome when discharge from the hospital. | Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome when discharge from the hospital. | ||
{| class="wikitable" | {| class="wikitable" | ||
!Measurement | !Measurement | ||
!Frequency | !Frequency | ||
|- | |- | ||
|Clinic visit | |Clinic visit | ||
|Every 6 to 12 months | |Every 6 to 12 months | ||
|- | |- | ||
|Weight | |Weight | ||
|Every week | |Every week to check for malnutrition and dehydration | ||
|- | |- | ||
|Intake and output | |Intake and output | ||
|Every 1 to 4 weeks | |Every 1 to 4 weeks to check for malnutrition and dehydration | ||
|- | |- | ||
|Comprehensive metabolic panel including magnesium | |Comprehensive metabolic panel including magnesium | ||
|Every 4 weeks | |Every 4 weeks to check for malnutrition and dehydration | ||
|- | |- | ||
|Essential fatty acids | |Essential fatty acids | ||
|Every 6 to 12 months | |Every 6 to 12 months to check for malnutrition | ||
|- | |- | ||
|Vitamin levels | |Vitamin levels | ||
|Every 6 to 12 months | |Every 6 to 12 months to check for malnutrition | ||
|- | |- | ||
|Minerals | |Minerals | ||
|Every 6 to 12 months | |Every 6 to 12 months to check for malnutrition | ||
|- | |- | ||
|Liver function tests | |Liver function tests | ||
| | |Every 6 months to check for liver disease | ||
|- | |- | ||
|Dual-energy x-ray absorptiometry scan | |Dual-energy x-ray absorptiometry scan | ||
|Every 2 years | |Every 2 years to check for osteoporosis | ||
|} | |} | ||
Revision as of 14:44, 4 December 2017
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Short bowel syndrome secondary prevention On the Web |
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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
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 enteral 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:
- Effective measures for the secondary prevention of liver disease following TPN include:[1]
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 when discharge from the hospital.
| Measurement | Frequency |
|---|---|
| Clinic visit | Every 6 to 12 months |
| Weight | Every week to check for malnutrition and dehydration |
| Intake and output | Every 1 to 4 weeks to check for malnutrition and dehydration |
| Comprehensive metabolic panel including magnesium | Every 4 weeks to check for malnutrition and dehydration |
| Essential fatty acids | Every 6 to 12 months to check for malnutrition |
| Vitamin levels | Every 6 to 12 months to check for malnutrition |
| Minerals | Every 6 to 12 months to check for malnutrition |
| Liver function tests | Every 6 months to check for liver disease |
| Dual-energy x-ray absorptiometry scan | Every 2 years to check for osteoporosis |
References
- ↑ 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.
- ↑ 2.0 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.