Short bowel syndrome secondary prevention: Difference between revisions
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*Management strategies and regular follow-up is needed to find and treat complications accordingly. | *Management strategies and regular follow-up is needed to find and treat complications accordingly. | ||
===Effective measures=== | ===Effective measures=== | ||
*Effective measures for the secondary prevention of liver disease following TPN include:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | |||
**High calorie diet including less than 30% fat | |||
**Treating nutrient deficiencies | |||
**Treating small bowel bacterial overgrowth | |||
**Ursodeoxycholic acid | |||
**Regular monitoring of liver function tests | |||
**Hepatobiliary ultrasound | |||
**Liver biopsy | |||
*Effective measures for the secondary prevention of cholelithiasis following TPN include:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | |||
**Initiating enteral nutrition whenever feasible | |||
**Intermittent cholecystokinin and lipids injections | |||
**Prophylactic cholecystectomy | |||
*Effective measures for the secondary prevention of kidney stone following TPN include:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | |||
**Low oxalate diet | |||
**Minimizing intraluminal fat | |||
**Providing calcium supplements | |||
**Maintaining a high urinary volume | |||
**Cholestyramine | |||
*Effective measures for the secondary prevention of small bowel bacterial overgrowth following TPN include:<ref name="RodriguesSeetharam2011">{{cite journal|last1=Rodrigues|first1=Gabriel|last2=Seetharam|first2=Prasad|title=Short bowel syndrome: A review of management options|journal=Saudi Journal of Gastroenterology|volume=17|issue=4|year=2011|pages=229|issn=1319-3767|doi=10.4103/1319-3767.82573}}</ref> | |||
**Long term antibiotic therapy | |||
*Effective measures for the secondary prevention of lactic acidosis include:<ref name="WilmoreRobinson2014">{{cite journal|last1=Wilmore|first1=Douglas W.|last2=Robinson|first2=Malcolm K.|title=Short Bowel Syndrome|journal=World Journal of Surgery|volume=24|issue=12|year=2014|pages=1486–1492|issn=0364-2313|doi=10.1007/s002680010266}}</ref> | |||
**Hydration | |||
**Antibiotic therapy | |||
*Effective measures for the secondary prevention of osteoporosis include: | |||
** | |||
===Follow-up=== | ===Follow-up=== | ||
Revision as of 15:05, 4 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
There are no established measures for the secondary prevention of [disease name].
OR
Effective measures for the secondary prevention of [disease name] include [strategy 1], [strategy 2], and [strategy 3].
Secondary Prevention
- There are several ways to prevent complications of short bowel syndrome.
- Management strategies and regular follow-up is needed to find and treat complications accordingly.
Effective measures
- Effective measures for the secondary prevention of liver disease following TPN include:[1]
- High calorie diet including less than 30% fat
- Treating nutrient deficiencies
- Treating small bowel bacterial overgrowth
- Ursodeoxycholic acid
- Regular monitoring of liver function tests
- Hepatobiliary ultrasound
- Liver biopsy
- Effective measures for the secondary prevention of cholelithiasis following TPN include:[1]
- Initiating enteral nutrition whenever feasible
- Intermittent cholecystokinin and lipids injections
- Prophylactic cholecystectomy
- Effective measures for the secondary prevention of kidney stone following TPN include:[1]
- Low oxalate diet
- Minimizing intraluminal fat
- Providing calcium supplements
- Maintaining a high urinary volume
- Cholestyramine
- Effective measures for the secondary prevention of small bowel bacterial overgrowth following TPN include:[1]
- Long term antibiotic therapy
- Effective measures for the secondary prevention of lactic acidosis include:[2]
- Hydration
- Antibiotic therapy
- Effective measures for the secondary prevention of osteoporosis include:
Follow-up
- Close long-term follow-up is needed.
- Monitoring and measuring blood levels of nutrients are required.[2]
Table below summarizes the tests and imaging studies which are required in patients with short bowel syndrome when discharge from the hospital.
| Measurement | Frequency |
|---|---|
| Clinic visit | Every 6 to 12 months |
| Weight | Every week to check for malnutrition and dehydration |
| Intake and output | Every 1 to 4 weeks to check for malnutrition and dehydration |
| Comprehensive metabolic panel including magnesium | Every 4 weeks to check for malnutrition and dehydration |
| Essential fatty acids | Every 6 to 12 months to check for malnutrition |
| Vitamin levels | Every 6 to 12 months to check for malnutrition |
| Minerals | Every 6 to 12 months to check for malnutrition |
| Liver function tests | Every 6 months to check for liver disease |
| Dual-energy x-ray absorptiometry scan | Every 2 years to check for osteoporosis |
References
- ↑ 1.0 1.1 1.2 1.3 Rodrigues, Gabriel; Seetharam, Prasad (2011). "Short bowel syndrome: A review of management options". Saudi Journal of Gastroenterology. 17 (4): 229. doi:10.4103/1319-3767.82573. ISSN 1319-3767.
- ↑ 2.0 2.1 Wilmore, Douglas W.; Robinson, Malcolm K. (2014). "Short Bowel Syndrome". World Journal of Surgery. 24 (12): 1486–1492. doi:10.1007/s002680010266. ISSN 0364-2313.