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.
|
JEJUNOILEAL ANASTOMOSIS |
JEJUNOCOLIC ANASTOMOSIS |
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.
- Tappenden KA. J Parenter Enteral Nutr. 2014;38(1 Suppl):14S–22S.
Date of preparation: May 2020 C-ANPROM/INT//7387