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Short Bowel Syndrome (Surgical Approach)

A malabsorption syndrome characterized by inadequate absorption of nutrients, fluids, and electrolytes following loss of small intestine.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Short Bowel Syndrome (Surgical Approach)?

Short bowel syndrome (SBS) is a malabsorption syndrome arising when the residual small intestine is too short to provide adequate absorption. It typically develops when less than 200 cm of small bowel remains.

The most common causes are mesenteric ischemia, Crohn's disease, trauma, volvulus, and radiation enteritis. The presence of the colon, preservation of the ileocecal valve, and type of remaining bowel significantly influence prognosis.

Treatment is staged through adaptation phase, nutritional support, medical therapy (GLP-2 analogues), and if needed surgical rehabilitation or intestinal transplantation.

Symptoms

Chronic diarrhea and steatorrhea
Weight loss and malnutrition
Dehydration and electrolyte imbalance
Vitamin and mineral deficiencies
Weakness and fatigue
Osteoporosis
Increased risk of gallstone and kidney stone formation

Risk Factors

History of mesenteric ischemia
Extensive bowel resection
Crohn's disease
Radiation enteritis
Traumatic bowel loss
Congenital anomalies
Repeated surgeries

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Uncontrolled diarrhea after resection
  • Rapid weight loss
  • Dehydration and weakness
  • Recurrent catheter infections
  • Signs of chronic liver dysfunction

Treatment Methods

01
Early TPN and fluid-electrolyte support
02
Gradual enteral feeding and adaptation diet
03
Loperamide, H2 blocker, and bile salt binders
04
Teduglutide (GLP-2 analogue) for intestinal rehabilitation
05
Surgical rehabilitation: STEP and Bianchi lengthening procedures
06
Small bowel transplantation in selected cases

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.