SHORT BOWEL SYNDROME

Question 1

Disorder r/t poor absorption of nutrient (water, vitamins, minerals, protein, fat, calories)

Typically occurs in people with half of their small intestines removed and sometimes all or part of their large intestine. May also occur after Tx of cancer or crohn’s, which can also be congenital.

Answer 1

Short Bowel Syndrome

Question 2

S/Sx of Short Bowel Syndrome

Answer 2

-Loose, watery, steatorrhea (fatty) stools
-Dehydration, malnutrition, weight loss
-Bloating , cramps, N/V
-Fatigue, foul smelling stools
-Heartburn

Question 3

Meds for Short Bowel Syndrome

Answer 3

-Antibiotics
-Antiulcers
-Bile salt binder and hypomotility agents
-Cholestyramine (Bile acid sequestran)

Question 4

What does Cholestyramine do?

Answer 4

Given to patients with short bowel syndrome, diarrhea, & pts w/ ileal resections.

The drug reduces diarrhea due to unabsorbed bile acids by increasing their excretion in feces.

Question 5

What procedure can be done to increase the ability to absorb nutrients?

Answer 5

intestinal transplants

Question 6

What are the complications of Short Bowel Syndrome?

Answer 6

malnutrition, peptic ulcers, kidney stones, small intestinal bacterial overgrowth.

Question 7

Soluble fibers

Answer 7

oatmeal, lentils, apples, oranges, nuts, flaxseeds, beans, dried pasta

Question 8

Insoluble fibers

Answer 8

barley, couscous, brown rice, zucchini, broccoli, cabbage, green beans, dark leafy veggies.

Question 9

What type of diet is recommended?

Answer 9

Small frequent meals

NO foods high in fat, sugar, protein, & insoluble fiber.

More carbs, soluble fiber, Ca+ supplements, glutamine.