Authors:
Nina Oktavia Marfu'ah
;
Herry Purbayu
;
Iswan Abbas Nusi
;
Poernomo Boedi Setiawan
;
Titong Sugihartono
;
Ummi Maimunah
;
Ulfa Kholili
;
Budi Widodo
;
Muhammad Miftahussurur
;
Husin Thamrin
and
Amie Vidyani
Affiliation:
Department of Internal Medicine, Faculty of medicine Universitas Airlangga, Dr. Soetomo General Hospital and Surabaya, Indonesia
Keyword(s):
Short bowel syndrome, total parenteral nutrition, bowel resection, malabsorption
Abstract:
Short bowel syndrome (SBS) is malabsorption due to intestinal surface area insufficiency. In Europe, the incidence of home Total Parenteral Nutrition (TPN) is approximately three cases per million people per year, and the prevalence is four cases per million per year, whereas most people who get home TPN are patients with SBS at 35%. There are three types of SBS bowel resection types, namely ileocolonic, jejunocolonic, and jejunostomy. The main causes of SBS in adults are bowel resection associated with vascular disorders and Crohn's disease. Clinical manifestations of SBS are malabsorption of macronutrients, fluids, and electrolytes, vitamin and mineral deficiencies, diarrhea, gastric hypersecretion, wound healing and infection. SBS management includes nutrition management, pharmacological management, and surgical management. SBS complications include gallstones, oxalate kidney stones, liver diseases, d-lactate acidosis, peptic ulcers, and metabolic bone disease. This study is a lit
erature review aiming to discuss treatment options for short bowel syndrome
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