Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 31: Nontransplant Surgery For Short Bowel Syndrome (continued)

Kishore Iyer, MBBS, FRCS (Eng), FACS

Short bowel syndrome refers to a specific form of intestinal failure resulting from inadequate length of functional small bowel. The syndrome is characterized by a failure to meet the body’s needs for calories and macro- and micronutrients via the enteral route. Although the metabolic, nutritional, fluid, and electrolyte consequences of having inadequate functional gut length are predictable, many of the complications related to the syndrome, such as liver disease and frequent life-threatening septic episodes, are related to the provision of total parenteral nutrition (TPN) and the…