تعريف
Short bowel syndrome is a complication that can occur in people who have part or all of their small intestine removed.
أسباب
Short bowel syndrome occurs when so much of the small intestine is removed (usually half or more) that there is inadequate surface area in the small intestine for the absorption of vitamins and minerals from food.
عوامل الخطر
عامل الخطر هو الشيء الذي يزيد من فرصتك في الإصابة بمرض أو حالة.
The following factors are thought to increase the risk of short bowel syndrome:
- Crohn’s disease (the most common reason for the removal of the small intestine)
- Vascular problems
- الولادة المبكرة
الأعراض
Symptoms of short bowel syndrome may include:
- إسهال
- تشنج
- الانتفاخ
- حرقة في المعدة
- سوء التغذية
- تجفيف
- ضعف
- تعب
- اكتئاب
- فقدان الوزن
- Bacterial infections
- Food sensitivities
التشخيص
Your doctor will ask about your symptoms and medical history, and perform a physical exam. He or she will also likely perform blood tests to check for nutritional and absorption problems.
العلاج
تحدث مع طبيبك حول أفضل خطة علاجية لك. تشمل خيارات العلاج ما يلي:
تَغذِيَة
If you are malnourished, your doctor may give you food, fluid, and electrolytes through an IV. You will be advised to gradually increase your caloric intake and avoid certain foods. Initially, your diet will be high-protein, low-fat, and lactose-free.
الأدوية
In addition to changing your diet, you may need to receive vitamin and mineral supplementation. Antidiarrheal medications and medications that slow the contraction and relaxation of the intestinal muscles can also slow your digestion so you can absorb more nutrients. Depending on your symptoms, your doctor may prescribe an H2 antagonist, proton pump inhibitor, cholestyramine , and/or octreotide .
جراحة
Transplantation ل الأمعاء الدقيقة is an option for patients who cannot maintain their nutritional status with the above treatments.
الوقاية
There is no known way to prevent short bowel syndrome.