SURGERY LEADING TO SBS-IF1

Three major types of intestinal surgeries can result in short bowel syndrome with intestinal failure (SBS-IF).Patient outcomes and symptom presentation after the surgery depend on the type of procedure conducted and the length of remaining bowel.

 

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JEJUNOILEAL ANASTOMOSIS

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JEJUNOCOLIC ANASTOMOSIS

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JEJUNOSTOMY

PROBABILITY OF PN DEPENDENCE Low but increased in patients with
<35 cm jejunum remaining
Variable* but generally higher in patients with
<60–65 cm jejunum remaining
Variable* but higher in patients with
<115 cm jejunum remaining
POSSIBLE SYMPTOMATIC MANIFESTATIONS Transient gastric acid hypersecretion and impaired digestion Increased diarrhoea; vitamin B12 deficiency; impaired bile salt resorption; deficiency in fat-soluble vitamins; fat malabsorption and steatorrhoea; choleretic diarrhea Increased stomal output; significant nutrient and fluid malabsorption; magnesium deficiency; vitamin B12 deficiency; impaired bile salt resorption
PROGNOSIS Good Fair Fair

*Depending on length of remnant jejunum.

Figure 2. Major intestinal resections may result in SBS-IF and subsequent dependence on long-term parenteral support.

Date of preparation: May 2020 C-ANPROM/INT//7387