Crohn's Disease: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 35: Short Bowel Syndrome (continued)

Jane E. Onken, MD, MHS

The term short bowel syndrome (SBS) is used to describe the clinical consequences that result from extensive intestinal resection. In some cases, SBS is defined anatomically as a small bowel length less than 200 cm.1,2 Others prefer to define the syndrome functionally, referring to it as intestinal failure. This latter term emphasizes the fact that the remaining intestine is incapable of maintaining adequate nutritional balance without some form of supplementation. SBS applies to a wide spectrum of nutritional compromise ranging from moderate, due to limited ileocolonic resections, to the…