| Short Bowel Syndrome |
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In healthy adults, the small intestine has an average length of approximately 6 meters (20 feet). Short bowel syndrome usually appears when there is less than 1.8 meters (6 feet) of the small intestine left to absorb sufficient Nutrient s. SYMPTOMS The symptoms of short bowel syndrome include:
Patients with short bowel syndrome may have complications caused by malabsorption of vitamins and minerals, such as deficiencies in vitamins A, E, D, and B12, calcium, magnesium, iron, folic acid, and zinc. These may appear as anaemia, scaling of the skin or hyperkeratosis, easy bruising, muscle spasms, and bone pain. CAUSES Short bowel syndrome in adults is usually caused by:
This condition can also develop in premature infants who have Necrotizing Enterocolitis , a serious disease where dead tissues in the lining of the small intestine needs to be surgically removed. TREATMENTS Symptoms of short bowel syndrome are usually addressed by prescription medicine. These include:
Newborn infants may require parenteral nutrition (or nutrition administered via intravenous line). INTESTINAL ADAPTATION Short bowel syndrome caused by the surgical removal of a portion of the bowel may be a temporary condition, due to the adaptive property of the small intestine. In a process called intestinal adaptation, physiological changes to the remaining portion of the small intestine occur to increase its absorptive capacity. These changes include:
PROGNOSIS There is no cure for short bowel syndrome. In newborn infants, the 4-year survival rate on parenteral nutrition is approximately 70%. Although promising, small intestine transplant has a mixed success rate, with postoperative mortality rate of up to 30%. One-year and 4-year survival rate are 90% and 60%, respectively. EXTERNAL LINKS
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