Clinical Considerations in the Management of Short Bowel Syndrome

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Presentation transcript:

Clinical Considerations in the Management of Short Bowel Syndrome

Short Bowel Syndrome, Defined

Causes of SBS

“Functional” Short Bowel

Normal Physiology

Sites of Absorption

Anatomic Considerations Jejunal Resection

Anatomic Considerations Ileal Resection

Anatomic Considerations Extensive Bowel Resection

Mechanisms of Malabsorption

Assessment of Intestinal Function

SBS Assessment Goals

TPN Complications

Intestinal Adaptation

Intestinal Rehabilitation and Transplant Program (IRTP)

Medications for SBS and Intestinal Failure

Pharmacotherapy for Intestinal Rehabilitation

Mount Sinai Experience With Teduglutide

Dilated Segments

The Bianchi Procedure

Indications for Intestinal Transplantation

What Patients Need to Know

Abbreviations

References

References (cont)