Short bowel syndrome
| Short bowel syndrome | |
| ICD-9 | 579.3 |
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| DiseasesDB | 12026 |
| MedlinePlus | 000237 |
| MeSH | D012778 |
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Short bowel syndrome Microchapters |
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Short bowel syndrome On the Web |
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American Roentgen Ray Society Images of Short bowel syndrome |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: SBS; short gut syndrome; short gut; small intestine insufficiency; chronic idiopathic intestinal pseudoobstruction; hypomotility disorder; congenital short bowel syndrome; short bowel; pseudoobstructive syndrome; pseudointestinal obstructive syndrome; massive bowel resection syndrome; idiopathic intestinal pseudo-obstruction
Overview
Signs and symptoms
Causes
Pathophysiology
Treatments
Symptoms of short bowel syndrome are usually addressed by prescription medicine. These include:
- Anti-diarrheal medicine (e.g. loperamide, codeine)
- Vitamin and mineral supplements
- H2 blocker and proton pump inhibitors to reduce stomach acid
- Lactase supplement (to improve the bloating and diarrhoea associated with lactose intolerance)
- Surgery, including intestinal lengthening, tapering, and organ transplant.
- Parenteral nutrition (PN or TPN - nutrition administered via intravenous line).
- Nutrition administered via gastronomy tube
Prognosis
Surgical procedures to lengthen dilated bowel include the Bianchi Procedure (where the bowel is cut in half and one end is sewn to the other) and a newer procedure called serial transverse enteroplasty (STEP -- where the bowel is cut and stapled in a zigzag pattern). There is controversy over the efficacy of these procedures. They are usually performed by pediatric surgeons at quaternary hospital who specialize in small bowel surgery.
References