Short bowel syndrome results from surgical resection, congenital defects, or loss of absorption in the small intestine that leads to malabsorption. It is characterized by an inability to maintain proper nutrient and fluid balance from diet alone due to less than 200 cm of remaining small intestine or extensive loss of absorptive surface area. Factors like the length and specific location of remaining intestine, loss of the ileocecal valve or colon, and existing malnutrition or disease can affect the course of short bowel syndrome. Diet modifications and intestinal adaptation aim to help patients manage the symptoms.

1. SHORT BOWEL SYNDROME

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

5. CAUSES

6. Vomiting
Poor appetite
Weight loss/ weight gain

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

8. INTESTINAL ADAPTATION

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.

11. THANK YOU