1. EMedicine - Short Bowel Syndrome : Article By Carmen Cuffari, MD Etiology, history, physiology, evolution, dietary, medical and surgical treatment of this illness in the childhood. http://www.emedicine.com/ped/topic2088.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Pediatrics Gastroenterology Short Bowel Syndrome Last Updated: April 11, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: SBS, short-bowel syndrome, total parenteral nutrition, TPN AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Carmen Cuffari, MD , Assistant Professor, Department of Pediatrics, Division of Gastroenterology/Nutrition, Johns Hopkins University Editor(s): Jorge Vargas, MD , Professor, Department of Pediatrics, Division of Pediatric Gastroenterology, University of California at Los Angeles School of Medicine; Robert Konop, PharmD , Director of Drug Programs and Utilization; David Piccoli, MD , Chief, Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia; Professor, Department of Pediatrics, University of Pennsylvania School of Medicine; Steven Schwarz, MD

2. Short Bowel Syndrome short bowel syndrome refers to the malabsorption of food nutrients due to diseaseor surgical removal of parts of the small intestine. http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Short_bowel_syndr

3. MedlinePlus Medical Encyclopedia: Short Bowel Syndrome Illustrations, definition, incidence, risk factors, diagnosis, treatment and prognosis of this disease. http://www.nlm.nih.gov/medlineplus/ency/article/000237.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Short bowel syndrome Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Calling your health care provider Illustrations Digestive system Digestive system organs Alternative names Return to top Small intestine insufficiency Definition Return to top Short bowel syndrome is condition of nutritional malabsorption related to the surgical removal or disease of a large portion of the small intestine. Causes, incidence, and risk factors Return to top When areas of the small intestine are removed surgically, there may not be enough surface area left in the remaining bowel to adequately absorb nutrients from food. This condition is particularly likely to develop when one-half or more of the bowel is removed during surgery. Risk factors include diseases of the small intestine that may require surgical intervention such as regional enteritis or Crohn's disease Necrotizing enterocolitis is a common cause of this syndrome in infants.

4. Short Bowel Syndrome A brief look at this syndrome and what it is, the symptoms, reasons and treatment. http://digestive.niddk.nih.gov/ddiseases/pubs/shortbowel/

Email To A Friend Home Digestive Diseases A-Z List of Topics and Titles : Short Bowel Syndrome Short Bowel Syndrome Short bowel syndrome is a group of problems affecting people who have had half or more of their small intestine removed. The most common reason for removing part of the small intestine is to treat Crohn's disease. Diarrhea is the main symptom of short bowel syndrome. Other symptoms include cramping, bloating, and heartburn. Many people with short bowel syndrome are malnourished because their remaining small intestine is unable to absorb enough water, vitamins, and other nutrients from food. They may also become dehydrated, which can be life threatening. Problems associated with dehydration and malnutrition include weakness, fatigue, depression, weight loss, bacterial infections, and food sensitivities. Short bowel syndrome is treated through changes in diet, intravenous feeding, vitamin and mineral supplements, and medicine to relieve symptoms. Additional Information on Short Bowel Syndrome The National Digestive Diseases Information Clearinghouse collects resource information on digestive diseases for the Combined Health Information Database (CHID). CHID is a database produced by health-related agencies of the Federal Government. This database provides titles, abstracts, and availability information for health information and health education resources.

5. Short Bowel Syndrome - ICQ Interest Groups - ICQ.com ICQ interest group about this disease. http://web.icq.com/groups/browse_folder?tid=6329

6. Short Bowel Syndrome short bowel syndrome Etiology, Pathophysiology and Management. Copyright 2003 by The Cleveland Clinic Center for Continuing Education http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

7. Short Bowel Syndrome short bowel syndrome is a group of problems affecting people who have had half or more of their small intestine removed. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. EMedicine - Short-Bowel Syndrome Article By Michael AJ Sawyer, MD ShortBowel Syndrome - The average length of the adult human small intestine has been calculated at approximately 600 cm from studies performed on http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

9. Home Page Association providing information, support by mailing list, newsletter and contact by email to patients with a short bowel syndrome. http://www.noguts.us

Our Mission at the Noguts Country Club Trying to help others with Short Bowel Syndrome along the way. We have put the discussion board Online Please DO NOT SPAM For all our friends Please Read. These will open in a new window. Please close the window to return here. New e-mail addresses What Can I Do? (Bad Mail) Home PC Spam These People are Spam Friendly We are starting a Chat Room on Yahoo Messenger nogutsus . Our e-mail is nogutsus at yahoo.com We will be posting a page listing the day and times we will be online. Just remember I also have SBS. The Hurricane Pictures and Damage to our Property and House We have a NEW PROGRAM that gives 10% to a person with SBS. It is called the Noguts Discount Club Be sure to check out the story about Christian . His outlook is GREAT! Who We Are Hi and welcome to The No Guts Country Club. My name is Jim, I live in Fort Myers, Fl, just so you will know I am a real person. Every thing I say is from my experience in the last eleven years with Short Bowel Syndrome, in fact I have what is called Extreme Short Bowel Syndrome. I have " about " 12 inches of active small intestine and

10. Necrotizing Enterocolitis And Short Bowel Syndrome Information, risk factors, presentation, management of these disease. http://www.naspgn.org/sub/NECROTIZING_ENTEROCOLITIS_AND_SHORT_BOWEL_SYNDROME.htm

Chapter quoted in part from: Bentley D, Lifschitz C, Lawson M. Pediatric Gastroenterology and Clinical Nutrition. 2001. ReMedica Publishing, London U.K. with permission. Necrotizing Enterocolitis and Short-Bowel Syndrome Necrotizing enterocolitis This acute gastrointestinal disorder was first described in the German literature in 1825 [1], but is still something of an enigma. Despite years of investigation, the etiology remains unclear, and accepted prevention and treatment strategies are lacking. Necrotizing enterocolitis (NEC) predominantly affects premature infants; less commonly (10%), term newborns, and, rarely, severely debilitated children. There have been instances of nursery epidemics. Some centers see this problem affecting as many as 8% of newborns born weighing less than 1.5 kg, while other units have a very low incidence of only 0.3% among their premature babies. Several countries, for example Switzerland and Scandinavia, have a very low incidence. In a study involving 52 centers in Japan [2], the incidence was only 0.3%. In the USA, the incidence is 2.4 in 1000 live births [3,4]. NEC is the commonest neonatal gastrointestinal emergency in both the UK and America. Risk factors Susceptibility to NEC is increased by the following: Extreme prematurity [5] Birth weight under 2.0 kg

11. EMedicine Medicine, Ob/Gyn, Psychiatry, And Surgery GENERAL Salivary Gland Tumors, Minor, Benign (CME available) ShortBowel Syndrome (CME available) Solid Omental Tumors (CME available) http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

12. Short Bowel Syndrome Definition, early and long term nutritional support nutrition assessment,intervention and outcome. http://depts.washington.edu/growing/Assess/SBS.htm

Short Bowel Syndrome By Lori S. Brizee MS,RD,CD, Clinical Dietitian, Children's Hospital and Regional Medical Center, Seattle, Washington Definition Early Nutritional Support Long Term Nutritional Support Nutrient Deficiencies ... Definition of Short Bowel Syndrome Short Bowel Syndrome (SBS) is defined as malabsorption resulting from anatomical or functional loss of a significant length of the small intestine. Most commonly this occurs after bowel resection in the newborn period (i.e., secondary to necrotizing enterocolitis ). The amount of bowel that must be lost to produce malabsorption is variable and depends on which section(s) is/are lost, and whether the ileocecal valve is preserved. The normal length of small intestine is approximately 300 to 850 cm for an adult, 200 to 250 cm for an infant over 35 weeks gestation, and approximately 100 to 120 cm for a premature infant, less than 30 weeks gestation. Loss of greater than 80% of the small bowel is associated with increased requirement for parenteral nutrition support, and decreased overall survival. When the ileocecal valve is lost, the resulting bacterial contamination of the small intestine mandates more small intestine for tolerance of oral/enteral feeding. The small intestine consists of the duodenum, jejunum and ileum. The majority of carbohydrate and protein absorption takes place in the duodenum and jejunum. Fats and fat soluble vitamins, however are absorbed in the ileum. Bile salts are excreted from the liver into the duodenum; these are required for the absorption of long chain fatty acids and fat soluble vitamins in the ileum. Vitamin B12 binds to intrinsic factor (produced in the stomach) and is also absorbed in the terminal ileum. Fluids and electrolytes are predominantly absorbed in the ileum and in the colon. When the duodenum and/or jejunum are resected, the ileum can largely adapt to perform their absorptive functions. However, the duodenum and jejunum cannot adapt to perform the functions of the ileum. Thus, resection of the duodenum or jejunum is generally much better tolerated than resection of the ileum.

13. ABC12.com HealthFirst For Wednesday- Short Bowel Syndrome HealthFirst for Wednesday short bowel syndrome http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

14. Frequently Asked Questions - Assuring Pediatric Nutrition In The Specific Diagnoses short bowel syndrome. Link to Frequently Asked QuestionsTable of Contents Link to Frequently Used Guidelines Table of Contents http://depts.washington.edu/nutrpeds/faq/diagnosis/sbs.htm

15. SciELO Error Scientific article about incidence and treatment of hypomagnesemia in patients with extensive small bowel resection. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-318020000006000

16. Short Bowel Syndrome short bowel syndrome is condition of nutritional related to the surgical removal or disease of a large portion of the small intestine. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Short Bowel Syndrome Etiology, pathophysiology and management, with attention to phisiologic consequencesof intestinal resection. http://www.clevelandclinicmeded.com/selected_topics/shortbowel/summary/article.h

Short Bowel Syndrome: Etiology, Pathophysiology and Management The Cleveland Clinic Center for Continuing Education Douglas L. Seidner, MD, FACG, CNSP Director, Nutrition Support Department of Gastroenterology and Hepatology The Cleveland Clinic Foundation Cleveland, OH Laura E. Matarese, MS, RD, LD, FADA, CNSD Director, Nutrition Intestinal Rehabilitation The Cleveland Clinic Foundation Cleveland, OH Case 2: Short Bowel Syndrome: Etiology, Pathophysiology and Management Short bowel syndrome occurs after an extensive resection of the small bowel. Patients with this problem present with chronic diarrhea, dehydration, electrolyte abnormalities and malnutrition as a result of severe maldigestion and malabsorption. Treatment spans a continuum, which ranges from those who can be managed with proper dietary manipulation to those who will require parenteral nutrition, and may be candidates for

18. Nursing Spectrum Online Nurses' knowledge and information about the care of patients with this syndrome and children who endure prolonged hospitalization. http://nsweb.nursingspectrum.com/ce/ce97.htm

< Home CE Resources Phone: Fax: Email CE Division Accreditation Statement Writer's Guidelines CE Order Form (mail) Welcome to the largest nursing education marketplace on the World Wide Web! Nursing Spectrum and NurseWeek have combined Continuing Education inventories to now offer hundreds of courses and thousands of contact hours! Please browse the course categories we have listed below. You may select a category to view the courses inside or you may choose to view the full course listing at once. You may browse our courses for free. If you'd like to earn CE credit, you can either pay as you go, or sign-up as an Unlimited user. Unlimited CE Not logged-in. Please log-in below or sign-up Password: Login Help Non-Unlimited Users: View / Print old Certificates. Try our new Audio CE! Newest Courses Hours Course Title Cost 1.0 hr Body Fat Shapes Patients’ Health Online Book 6.0 hrs Course 46a: The New Threat of Emerging Diseases Online Book 1.0 hr Fighting for Breath with COPD Online Book Sponsored (Free) Courses Hours Course Title Cost 1.0 hr

19. News - Zorbtive (Somatropin), Treatment Of Short Bowel Syndrome Zorbtive (Somatropin), Treatment of short bowel syndrome, Launched in US http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. Free Online CME: Short Bowel Syndrome: Etiology, Pathophysiology And Management Earn up to 1 hour of Category 1 CME credit by completing this free online learningactivity. Participants will read an article and answer related questions. http://www.clevelandclinicmeded.com/selected_topics/shortbowel/intro1.asp

Case 2: Short Bowel Syndrome: Etiology, Pathophysiology and Management Activity Release Date: 9/27/2001 Activity Renewal Date: 9/27/03 Activity Expiration Date: 9/27/05 CME Objectives Short Bowel Syndrome: Etiology, Pathophysiology and Management Upon completing this activity, the participant will be able to: List the most frequent causes of the short bowel syndrome and describe the physiologic consequences of this condition. Discuss the potential long-term complications of extensive intestinal resection. Recommend dietary modification, fluid, electrolyte, mineral, and vitamin supplementation according to extent and location of intestinal resection. Identify the medications which may be used to optimize absorption and minimize secretion in patients with short bowel syndrome. Authors: Douglas L. Seidner, MD

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