Short bowel syndrome is a descriptive term for the myriad clinical problems that follow resection of various lengths of small intestine or, on rare occasions are congenital. If the colon is in situ, the initial diet should be low in fat and high in carbohydrate in order to minimize diarrhea from fatty acid stimulation of colonic fluid resection. MCTs, a low-lactose diet and various soluble fiber- containing diets should also be tried.
The patient’s vitamin and mineral status must also be monitored, replacement therapy should be initiated if indicated.
Reference: Harrisons_Principles_of_Internal_Medicine,_19th_Edition
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