Short bowel syndrome secondary prevention: Difference between revisions
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==Secondary Prevention== | ==Secondary Prevention== | ||
*There are several ways to prevent complications of short bowel syndrome. | *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:<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 liver disease 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> | ||
***High calorie diet including less than 30% fat | ***High calorie diet including less than 30% fat | ||
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***Hydration | ***Hydration | ||
***Antibiotic therapy | ***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.<ref name="WilmoreRobinson2014">{{cite journal|last1=Wilmore|first1=Douglas W.|last2=Robinson|first2=Malcolm K.|title=Short Bowel Syndrome|journal=World Journal of Surgery|volume=24|issue=12|year=2014|pages=1486–1492|issn=0364-2313|doi=10.1007/s002680010266}}</ref> | |||
***Measuring essential fatty acids, vitamins and minerals every 3-6 months | |||
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome. | |||
==References== | ==References== | ||
Revision as of 20:40, 3 December 2017
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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 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:
- 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]
- Measuring essential fatty acids, vitamins and minerals every 3-6 months
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome.
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.