Short bowel syndrome secondary prevention

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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.
• Close long-term follow-up is needed.
  • Effective measures for the secondary prevention of liver disease following TPN include:
    • 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:
    • Initiating enteric nutrition whenever feasible
    • Intermittent cholecystokinin and lipids injections
    • Prophylactic cholecystectomy
  • Effective measures for the secondary prevention of kidney stone following TPN include:
    • 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:
    • Long term antibiotic therapy