Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 30: Dietary Management In Short Bowel Syndrome (continued)

Alan L. Buchman, MD, MSPH; James S. Scolapio, MD

Short bowel syndrome is a collection of signs and symptoms occurring after massive surgical intestinal resection and characterized by weight loss and malabsorption of fluids and macro and micronutrients. The normal small intestine is approximately 600 cm in length and the colon is approximately 150 cm. Short bowel syndrome may be a congenital or acquired condition. Infants born with jejunal or ileal atresia constitute the congenital forms. Otherwise, short bowel syndrome results from surgical bowel resection because of multiple resections for recurrent Crohn’s disease; massive…