Short Bowel Syndrome

3 John 1:2 Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth.

Children

Boston Children’s Hospital (2013). Short bowel syndrome [Video]. Youtube. https://www.youtube.com/watch?v=G2tFPwfZTKg

Adults

Gastrointestinal society (2021). Short bowel syndrome [Video]. Youtube. https://www.youtube.com/watch?v=3_ZSy-k9lJo

About Short Bowel Syndrome

Short bowel syndrome is a medical illness where intestinal resection reduces absorptive capacity requiring parenteral nutrition dependence and mineral supplementation (Modi et al., 2008). The pediatric patient with short bowel syndrome requires a greater effort in ensuring physical and nutritional needs are met to ensure adequate growth (Afolabi & Fairman, 2019). While there are many requirements of short bowel syndrome, most pediatric patients are discharged home with a central line, ostomy, and gastric feeding tube to assist with nutritional supplementation (O’Keefe et al., 2005). The treatment is rigorous and requires diligence in caring for the line to prevent central line blood associated infections, liver failure, skin breakdown, and failure to thrive (Modi et al., 2008).

Short Bowel Syndrome Causes

Intestinal resection from:
  • Intestinal atresia
  • Intestinal stenosis
  • Necrotizing
  • Enterocolitis
  • Volvulus
  • Gastroschisis
  • Hirschsprungs

Treatment of Short Bowel Syndrome

Treatment Includes

  • Intestinal rehabilitation teams utilizing gastroenterologist, dietician, surgeon, nurse practitioners, social worker
  • Total parenteral nutrition (TPN)
  • Enteral feedings (tube feedings)
  • Surgery or resection of intestine
  • Specific diets
  • Electrolyte, vitamin and mineral supplementation
  • Medications
  • Transplant

National Organization for Rare Disorders (2021). Short Bowel Syndrome. Retrieved from: https://rarediseases.org/rare-diseases/short-bowel-syndrome

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