Enteral and parenteral nutrition in the care of patients with short-bowel syndrome

Short-bowel syndrome is a challenging entity for the gastroenterologist, requiring integration of medical, nutritional, surgical and psychological therapies. Treatment must be based on the patient's age, remaining gastrointestinal anatomy, baseline nutritional status and underlying general heal...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2003-12, Vol.17 (6), p.997-1015
Main Authors: Vanderhoof, Jon A, Young, Rosemary J
Format: Article
Language:English
Subjects:
Age
Carbohydrates
enteral nutrition
Enteral Nutrition - adverse effects
Humans
Intestinal Absorption
intestinal adaptation
Nutrition
Parenteral nutrition
Parenteral Nutrition - adverse effects
Quality of life
Reporting requirements
Short Bowel Syndrome - etiology
Short Bowel Syndrome - metabolism
Short Bowel Syndrome - physiopathology
Short Bowel Syndrome - therapy
short-bowel syndrome
Small intestine
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Summary:Short-bowel syndrome is a challenging entity for the gastroenterologist, requiring integration of medical, nutritional, surgical and psychological therapies. Treatment must be based on the patient's age, remaining gastrointestinal anatomy, baseline nutritional status and underlying general health as well as the numerous complications which may arise. This chapter reviews physiological alterations that occur with short-bowel syndrome and how therapies can be tailored to most adequately meet the needs of these patients. Emphasis on early stages of therapy to enhance intestinal adaptation is focused on as management during this time has a significant impact on the long-term outcome of these patients.
ISSN:1521-6918
1532-1916
DOI:10.1016/S1521-6918(03)00082-9