Short bowel syndrome secondary prevention: Difference between revisions
Jump to navigation
Jump to search
| Line 42: | Line 42: | ||
*Close long-term follow-up is needed. | *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> | *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> | ||
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome. | 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" | ||
!Complication | !Complication | ||
| Line 48: | Line 48: | ||
!Frequency | !Frequency | ||
|- | |- | ||
| | | | ||
|Clinic visit | |||
|Every 6 to 12 months | |||
|- | |- | ||
| | |Malnutrition and dehydration | ||
| | |Weight | ||
| | |Every week | ||
|- | |- | ||
| | |Malnutrition and dehydration | ||
|Intake and output | |||
|Every 1 to 4 weeks | |||
|- | |- | ||
| | |Malnutrition and dehydration | ||
| | |Comprehensive metabolic panel including magnesium | ||
|Every | |Every 4 weeks | ||
|- | |- | ||
|Malnutrition | |Malnutrition | ||
|Essential fatty acids | |Essential fatty acids | ||
|Every | |Every 6 to 12 months | ||
|- | |- | ||
|Malnutrition | |Malnutrition | ||
|Vitamin levels | |Vitamin levels | ||
|Every | |Every 6 to 12 months | ||
|- | |- | ||
|Malnutrition | |Malnutrition | ||
|Minerals | |Minerals | ||
|Every | |Every 6 to 12 months | ||
|- | |- | ||
|Liver disease | |Liver disease | ||
Revision as of 21:14, 3 December 2017
|
Short bowel syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Short bowel syndrome secondary prevention On the Web |
|
American Roentgen Ray Society Images of Short bowel syndrome secondary prevention |
|
Risk calculators and risk factors for Short bowel syndrome secondary prevention |
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]
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome when discharge from the hospital.
| Complication | Measurement | Frequency |
|---|---|---|
| Clinic visit | Every 6 to 12 months | |
| Malnutrition and dehydration | Weight | Every week |
| Malnutrition and dehydration | Intake and output | Every 1 to 4 weeks |
| Malnutrition and dehydration | Comprehensive metabolic panel including magnesium | Every 4 weeks |
| Malnutrition | Essential fatty acids | Every 6 to 12 months |
| Malnutrition | Vitamin levels | Every 6 to 12 months |
| Malnutrition | Minerals | Every 6 to 12 months |
| Liver disease | Liver function tests | |
| Osteoporosis | Dual-energy x-ray absorptiometry scan | Every 2 years |
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.