2. DEFINITION
Short bowel syndrome is a results of surgical
resection, congenital defect, or loss of absorption.
Malabsorption is characterized by inability to
maintain protein-energy, fluid, electrolyte, or
micronutrient balance on diet.
3. DEFINITION
Presence of less than 200 cm of remaining small
intestine
Functional or anatomical loss of extensive
segments that results in loss or absorptive surface
area.
4. Beginning of the food broken
down
Water, Electrolytes and
Short Chain Fatty acids
Iron and Folate
Carbohydrate, Fats,
Protein, Vitamins,
Calcium and Trace
Elements
Same as jejunum,
but distal ileum is
specific for vitamin
B12 and bile salts
7. FACTORS AFFECTING THE COURSE OF
SBS
Length of remaining small intestine
Loss of ileum, especially distal one third
Loss of ileocecal valve
Loss of colon
Disease in remaining segments of
gastrointestinal tract
Radiation enteritis
Coexisting malnutrition
Older age at surgery
9. ORAL DIET MODFICATION
Take small bites when eating and chew thoroughly before swallowing
to help facilitate full digestion by the altered GI Tract.
Avoid simple or concentrated sugars, which may exacerbate
diarrhea, in both food and beverages.
Avoid foods that increase bloating through swallowed air, such as
chewing gum, drinking through straw, carbonated beverages,
tobacco, smoking, or eating meals too quickly.
10. •Increase consumption of food that decrease odor, like
buttermilk, crane berry juice, kefir, yoghurt, etc.
•Increase consumption of food that help thicken stool,
including banana, cheese, pasta, pectin, potatoes, ice,
etc.
•Avoid food that can cause gas formation and /or odor:
alcohol, Brussels sprouts, cabbage, cauliflower, egg, fish,
etc.