Basics in Clinical Nutrition: Nutritional support in extensive gut resections (short bowel)

Szczygiel, B; Jonkers-Schuitema, Cora F.; Naber, Ton H. J.

doi:10.1016/j.eclnm.2009.06.021

Cited by 6 publications

(11 citation statements)

References 14 publications

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“…The continuous intake of dietary nutrients is essential to stimulate remodelling not only via direct contact with the intestinal mucosa, but also due to the release of intestinal hormones. 7,8 Moreover, while a patient is under PN or EN, monitoring fluid balance and electrolytes are important measures. 7 Our patient maintained TPN until day 75, with unsuccessful weaning due to fluid/electrolyte abnormalities, food refusal, no decrease of daily dejections and other SBS related complications ahead-mentioned.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Moreover, while a patient is under PN or EN, monitoring fluid balance and electrolytes are important measures. 7 Our patient maintained TPN until day 75, with unsuccessful weaning due to fluid/electrolyte abnormalities, food refusal, no decrease of daily dejections and other SBS related complications ahead-mentioned. Also, electrolytes and micronutrients abnormalities were corrected after targeted supplementation for each deficit.…”

Section: Discussionmentioning

confidence: 99%

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Síndrome do Intestino Curto: Uma Entidade de Gestão Complexa - A Propósito de um Caso Clínico e Revisão da Literatura

Besteiro

Gomes

Pinhão

et al. 2021

RPMI

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A síndrome do intestino curto (SIC) é caracterizada por um estado de malabsorção de macro e micronutrientes que habitualmente se desenvolve após resseção de intestino delgado. Parece faltar uma correlação entre a quantidade de intestino ressecado e os sintomas desenvolvidos com a adaptação da estrutura e função intestinal. Reportamos o caso de um homem de 59 anos, submetido a resseção de 100 cm de intestino delgado tendo posteriormente desenvolvido síndrome de má absorção. Dos 95 dias de internamento hospitalar, várias complicações associadas à SIC ocorreram e de difícil gestão. Apesar de ser expectável um mau prognóstico, o doente apresentou melhoria significativa do estado nutricional após nutrição entérica e parentérica. À data de alta, apresentava um ganho ponderal de 9 kg. A SIC é uma patologia pouco reportada na literatura dado tratar-se de uma entidade complexa. Pretendemos com este caso reportar todo o processo de recuperação do doente e rever a fisiopatologia desta entidade

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Síndrome do Intestino Curto: Uma Entidade de Gestão Complexa - A Propósito de um Caso Clínico e Revisão da Literatura

Besteiro

Gomes

Pinhão

et al. 2021

RPMI

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“…Generally, patients with renal failure, especially those on dialysis, are more likely to develop metabolic acidosis. Short bowel syndrome can cause either acidosis or alkalosis, depending on the surgical procedure [1][2][3] and site. It has been reported that metabolic acidosis occurs in hemodialysis patients with short bowel syndrome [4,5].…”

Section: Introductionmentioning

confidence: 99%

Metabolic alkalosis due to short bowel syndrome in a hemodialysis patient

et al. 2020

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A 53-year-old man on hemodialysis suffered from short bowel syndrome after subtotal colectomy and partial resection of the small intestine. Laboratory tests showed multiple electrolyte disorders and enlarged sodium and chloride ion (Cl −) gaps despite treatment with large volume of sodium chloride replacement via central venous infusion. Blood gas analysis showed slightly high bicarbonate ion levels and metabolic alkalosis was suspected, which is uncommon in end stage kidney disease. The measurement of electrolytes in feces from ileostomy showed relatively high Cl − excretion. The loss of Cl − to feces may have caused the metabolic alkalosis; thus, additional Cl − replacement may have been necessary.

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“…Enteral feeding stimulates a combination of functional and hormonal changes in the gut, including biliary and pancreatic secretions, which enhance mucosal growth . PN alone is inferior to a combination of enteral and PN or EN alone in stimulating mucosal recovery . In addition to maintaining nutrition and hydration status, an appropriate diet with appropriate follow up and compliance is required for successful management of SBS.…”

mentioning

confidence: 99%

“…2 PN alone is inferior to a combination of enteral and PN or EN alone in stimulating mucosal recovery. 3 In addition to maintaining nutrition and hydration status, an appropriate diet with appropriate follow up and compliance is required for successful management of SBS. For patients able to tolerate enteral feeding, the regimens have to be tailored to the patient's specific needs.…”

mentioning

confidence: 99%