SYMPTOMS & COMPLICATIONS OF SBS-IF

Short bowel syndrome with intestinal failure (SBS-IF) is not a common condition and you may not have come across it before. However, it is important to recognise the signs and symptoms to effectively manage this major organ failure. Malabsorption due to SBS-IF causes a variety of debilitating symptoms and potentially life-threatening complications.1–3

SIGNS AND SYMPTOMS OF SBS-IF INCLUDE:2,3

FATIGUE

DIARRHOEA

DEHYDRATION

WEIGHT LOSS & MALNUTRITION

FLUID & ELECTROLYTE IMBALANCE

 

The altered bowel anatomy in SBS-IF may lead to serious complications:4

  • Renal dysfunction
  • Oxalate nephropathy
  • D-lactic acidosis
  • Metabolic bone disease
  • Acid peptic disease
  • Small bowel bacterial overgrowth

Patients should be monitored on a regular basis to avoid presentation of complications. For more details refer to the European Society of Clinical Nutrition and Metabolism (ESPEN) guidelines on chronic intestinal failure in adults.5

SBS-IF PROGNOSIS

While progress has been made in recent years, the mortality rate remains high among patients with SBS-IF. Even with parenteral nutrition and/or intravenous fluids (PN/IV) treatment, patients experience rapid declines in survival over time.1,2

Individual outcomes can depend on a large number of prognostic factors, including patient age, location and extent of bowel loss, absorptive capacity and adaptive potential of remaining bowel, primary disorder and comorbidities.2–4

Declining survival rates in SBS-IF:1

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