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Short Bowel Syndrome:     more detail

The Official Patient's Sourcebook on Short Bowel Syndrome: A Revised and Updated Directory for the Internet Age by Icon Health Publications, 2002-08 Diarrhea: Defecation, Lactose intolerance, Short bowel syndrome, Hyperthyroidism, Coeliac disease Short bowel syndrome: New therapeutic approaches (Current problems in surgery) by Douglas W Wilmore, 1997 Mrs. Smith: the boarding school enemas (Stories of J. G. Knox) by J. G. Knox, 2008-10-20

lists with details

81. Medical Breakthrough -- Surgery For Short Bowel Syndrome In Kids
    Colston was diagnosed with short bowel syndrome. Most of his intestines weretwisted and useless. Dr. Edmund Yang removed the dead section,  
    http://www.wqad.com/Global/story.asp?S=3489948&nav=1sWDbB2U

82. Crohn's Disease - Inflammatory Bowel Disease
    Children with short bowel syndrome (SBS) can have a reduced ability to absorbnutrients Because diarrhea is the primary symptom of short bowel syndrome,  
    http://www.chw.org/display/PPF/DocID/2816/router.asp
    
    Extractions: What is Crohn's disease? Crohn's disease is an inflammatory bowel disease. It is a chronic condition that may recur at various times over a lifetime. It usually involves the small intestine, most often the lower part called the ileum. However, inflammation may also affect the entire digestive tract, including the mouth, esophagus, stomach, duodenum, appendix or anus. What causes Crohn's disease? There are many theories regarding Crohn's disease, but none has yet been proven. One theory suggests that some agent, perhaps a virus or bacteria, affects the body's immune system and triggers an inflammatory reaction in the intestinal wall. Although there is a lot of evidence that patients with this disease have abnormalities of the immune system, it is not known whether the immune problems are a cause or a result of the disease.

83. Short Bowel Syndrome/
    Patient medical question and doctor answer from The Gastroenterology and LiverDiseases Forum. Health topic area and articles about malabsorption Topics  
    http://www.medhelp.org/forums/gastro/archive/4324.html
    
    Extractions: : I experienced a traumatic loss of all but 19" of small intestine s/p colectomy for a dysfunctional colon (very complicated medical/surgical hx, born with exstrophy of bladder). I have been on TPN now for 20 months. I have asked what criteria is used to decrease TPN and theres been little discussion about this. I currently cycle TPN 12h/d. Weight stable 118lbs. @ 5"3'.

84. Re: Short Bowel Syndrome/
    The Gastroenterology and Liver Diseases Forum ask the doctor medical forum forpatients hosted by Med Help Intl.  
    http://www.medhelp.org/forums/gastro/archive/4321.html
    
    Extractions: : I experienced a traumatic loss of all but 19" of small intestine s/p colectomy for a dysfunctional colon (very complicated medical/surgical hx, born with exstrophy of bladder). I have been on TPN now for 20 months. I have asked what criteria is used to decrease TPN and theres been little discussion about this. I currently cycle TPN 12h/d. Weight stable 118lbs. @ 5"3'.

85. NPS Pharmaceuticals: NPS Pharmaceuticals Reports Progress In Osteoporosis And Sh
    Reports Progress in Osteoporosis and short bowel syndrome Clinical Trials Phase II study with ALX0600 in patients with short bowel syndrome (SBS).  
    http://www.npsp.com/news/releasetxt.php?ReqId=273145

86. Successful Oral Anticoagulant Therapy In A Patient With Short Bowel Syndrome --
    It is suggested that patients with short bowel syndrome may be successfullyanticoagulated with oral products; however, careful monitoring of each patient s  
    http://www.ajhp.org/cgi/content/abstract/34/2/171
    
    Extractions: This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Mitchell, J. Articles by Geizayd, E. American Journal of Hospital Pharmacy, Vol 34, Issue 2, 171-172 JF Mitchell, LC Maas, RC Barger, and EA Geizayd The case of a 41-year-old male with a history of multiple emboli and short bowel syndrome who was successfully anticoagulated with sodium warfarin is described. The prothrombin times were stabilized in a therapeutic range with warfarin doses of 5.0 mg -7.5 mg daily. The pharmacokinetics of warfarin suggests that absorption is high in the proximal intestine. The successful use of sodium warfarin in the patient substantiates this finding and demonstrates that short bowel does not necessarily preclude the use of warfarin for anticoagulation. It is suggested that patients with short bowel syndrome may be successfully anticoagulated with oral products; however, careful monitoring of each patient's prothrombin time is necessary because of the variability and extent of bowel loss.

87. Dehydration, Short Bowel Syndrome And Ileostomy
    Apparently, my short bowel syndrome makes this worse, but the principle still Re Dehydration, short bowel syndrome and ileostomy Karlen 200407-02  
    http://www.uoa.org/discussion/genboard0407a/messages/48.html
    
    Extractions: Follow Ups Post Followup UOA General Discussion 2004 July (a) FAQ Posted by Terry G on July 02, 2004 at 13:48:03: On the Tuesday evening at a church meeting, my pouch suddenly filled. I went to empty it and, on my return, it filled again within a few minutes. I went to empty it again and noted, as previously how much fluid was it it and how little solid. By now I had overall abdominal pain and nausea, nearly throwing up then and there. I waved good-bye to the vicar as I rushed out and home, grabbed phone and went into the bathroom where I alternated between throwing up and emptying my pouch which became progressively just liquid. My urostomy had stopped filling at all. As it appeared to be gastro-enteritis causing the problem, I was shipped to another hospital by ambulance to be put in isolation. Take care. Terry

88. Hyperhomocysteinemia Is Associated With Venous Thrombosis In Patients With Short
    Patients with short bowel syndrome have increased risk of venous thrombosis dueto central catheters, and of vitamin deficiency due to malabsorption.  
    http://jpen.aspenjournals.org/cgi/content/abstract/25/1/1
    
    Extractions: Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Compher, C. Articles by Buzby, G. Journal of Parenteral and Enteral Nutrition, Vol 25, Issue 1, 1-7 CW Compher, BP Kinosian, N Evans-Stoner, J Huzinec, and GP Buzby

89. The Metabolism Of [75Se]selenite In Patients With Short Bowel Syndrome -- Rannem
    The metabolism of 75Seselenite in patients with short bowel syndrome. T Rannem,E Hylander, K Ladefoged, M Staun, L Tjellesen, and S Jarnum  
    http://jpen.aspenjournals.org/cgi/content/abstract/20/6/412
    
    Extractions: Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Rannem, T Articles by Jarnum, S Journal of Parenteral and Enteral Nutrition, Vol 20, Issue 6, 412-416 T Rannem, E Hylander, K Ladefoged, M Staun, L Tjellesen, and S Jarnum BACKGROUND: Patients on home parenteral nutrition (HPN) require significantly higher amounts of selenium compared with controls. The purpose of the present study was to investigate if selenium deficiency of patients with short bowel syndrome is caused by selenium malabsorption or by excessive intestinal or renal loss. METHODS: The metabolism of [75Se]selenite was investigated in eight selenium-depleted short bowel patients on HPN and in six control subjects. The isotope was given orally, and in a subsequent study as bolus injection or as 12-hour IV infusion. RESULTS: The fractional intestinal absorption of selenium was significantly reduced in the patients (2% to 58%, median 20%) when compared with the reference group (79% to 91%, median 82%) (p < .001). Within the group of patients we found a positive significant correlation between fractional selenium absorption and the length of the remaining small intestine (r = 0.95, p

90. FDA Advisory Committee
    Serono Serostim Additional Studies For short bowel syndrome Indication Needed, Serono submitted the Serostim NDA for short bowel syndrome in the fourth  
    http://www.fdaadvisorycommittee.com/FDC/AdvisoryCommittee/Committees/Gastrointes
    
    Extractions: Serono Serostim requires more study prior to approval for short bowel syndrome, FDA’s Gastrointestinal Drugs Advisory Committee said June 25. "Efficacy has not been shown in a generalizable fashion," Committee Chair Michael Wolfe, MD, Boston University, said. The committee voted six to three that the study submitted by Serono was not sufficient to demonstrate the efficacy of the growth hormone product for short bowel syndrome patients. One of the main concerns of the committee, and FDA, was that in the 41-patient study conducted by Serono, 38 patients were enrolled from one center. The committee voted seven to two that the results were not generalizable to other patients with the condition. The committee did find that the study results, however, were "clinically meaningful" in a six-to-three vote, responding to a question that FDA had posed about study results and primary endpoint.

91. Healthopedia.com - Short Bowel Syndrome: Prevention & Expectations (Short Bowel
    short bowel syndrome can lead to weight loss, chronic diarrhea, An individualwith short bowel syndrome is also more likely to develop kidney stones and  
    http://www.healthopedia.com/short-bowel-syndrome/prevention.html
    
    Extractions: Category : Health Centers Digestive System Short Bowel Syndrome Alternate Names : Short Bowel Malabsorption Syndrome Short Bowel Syndrome Pictures and Images Attribution What can be done to prevent the condition? People who have not had small bowel surgery are not at risk for this condition. Surgeons try to remove as little bowel as possible when doing surgery to prevent this condition. What are the long-term effects of the condition? Short bowel syndrome can lead to weight loss, chronic diarrhea, and vitamin and mineral deficiencies due to malabsorption. Such deficiencies may include vitamin B12 folate iron calcium ... zinc , and magnesium . This can cause problems throughout the body, such as anemia , skin rashes, and abnormal sensations in the legs.

92. Healthopedia.com - Short Bowel Syndrome: Treatment & Monitoring (Short Bowel Mal
    Diet is the primary treatment for short bowel syndrome. Most individuals withshort bowel syndrome need lifelong treatment.  
    http://www.healthopedia.com/short-bowel-syndrome/treatment.html
    
    Extractions: Category : Health Centers Digestive System Short Bowel Syndrome Alternate Names : Short Bowel Malabsorption Syndrome Short Bowel Syndrome Pictures and Images Attribution What are the treatments for the condition? Diet is the primary treatment for short bowel syndrome. A person must take in at least 2500 calories per day through a diet containing mostly complex carbohydrates and protein . A low- fat diet helps reduce diarrhea. Some medications, such as loperamide, also help control the diarrhea. Vitamin and mineral supplements are often needed, especially vitamin B12 and folate Calcium and iron supplements may be needed. A bile salt-binding medication, such as cholestyramine, is often given to help control symptoms. Some people with this condition produce too much stomach acid. This can further decrease digestion. Medications such as omeprazole or ranitidine can be used to help reduce the amount of stomach acid.

93. Penn State Faculty Research Expertise Database (FRED)
    , A malabsorption syndrome resulting from Bowel Syndrome, Short, Bowel Syndromes, Short. short bowel syndromesshort bowel syndrome.  
    http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D012778

94. Inflammatory Bowel Disease/Irritable Bowel Synd. - [Support Group]
    Mutual support for persons with irritable bowel syndrome, their families, andhealthcare Crohn s, ulcerated colitis and short bowel syndrome.  
    http://www.bchealthguide.org/kbase/shc/shc66.htm
    
    Extractions: var hwPrint=1;var hwDocHWID="shc66";var hwDocTitle="Inflammatory Bowel Disease/Irritable Bowel Synd.";var hwRank="1";var hwSectionHWID="shc66-Header";var hwSource="en-caQ2_05";var hwDocType="Shc"; This information is provided as a resource and does not constitute an endorsement for any group. It is the responsibility of the reader to decide whether a group is appropriate for his/her needs. For evidence-based information on diseases, conditions, symptoms, treatment and wellness issues, continue searching this site. National. 78 affiliated chapters. Founded 1976.

95. Inflammatory Bowel Disease
    Inflammatory bowel disease refers to two chronic diseases that cause such asshort bowel syndrome (which involves growth failure and a reduced ability  
    http://kidshealth.org/parent/medical/digestive/ibd.html
    
    Extractions: The digestive system is a set of organs (including the stomach, large and small intestines, rectum, and others) that convert the foods we eat into nutrients and absorb these nutrients into the bloodstream to fuel our bodies. We seldom notice its workings unless something goes wrong, as in the case of inflammatory bowel disease (IBD). It's estimated that up to 1 million Americans have inflammatory bowel disease. It occurs most frequently in people ages 15 to 30, but it can also affect younger children and older people. And there are significantly more reported cases in western Europe and North America than in other parts of the world. What Is Inflammatory Bowel Disease? Inflammatory bowel disease (which is not the same thing as irritable bowel syndrome, or IBS) refers to two chronic diseases that cause inflammation of the intestines: ulcerative colitis and Crohn's disease . Although the diseases have some features in common, there are some important differences. Ulcerative colitis is an inflammatory disease of the large intestine, also called the colon. In ulcerative colitis, the inner lining - or

96. Short Bowel Syndrome
    short bowel syndrome (Chronic Idiopathic Intestinal Pseudoobstruction; Congenitalshort bowel syndrome FederallyFunded Research on short bowel syndrome  
    http://www.icongrouponline.com/health/Short_Bowel_Syndrome.html
    
    Extractions: (Chronic Idiopathic Intestinal Pseudoobstruction; Congenital Short Bowel Syndrome; Hypomotility Disorder; Idiopathic intestinal pseudo-obstruction; Intestinal pseudo-obstruction; massive bowel resection syndrome; Pseudointestinal Obstruction Syndrome; Pseudoobstructive Syndrome; Short bowel; Small intestine insufficiency) Revised and Updated for the Internet Age P A P E R B A C K Paperback Book Paperback Book Order by phone: 800-843-2665 (within USA) 1-201-272-3651 (from outside USA) Paperback Book Shipped in 3 to 5 business days E B O O K Electronic File * E-Book version sent via e-mail in 2 business days Pages Price $28.95(USD) ISBN Published Synopsis A comprehensive manual for anyone interested in self-directed research on short bowel syndrome. Fully referenced with ample Internet listings and glossary. Related Conditions/Synonyms Chronic Idiopathic Intestinal Pseudoobstruction; Congenital Short Bowel Syndrome; Hypomotility Disorder; Idiopathic intestinal pseudo-obstruction; Intestinal pseudo-obstruction; massive bowel resection syndrome; Pseudointestinal Obstruction Syndrome; Pseudoobstructive Syndrome; Short bowel; Small intestine insufficiency Description Table of Contents Introduction Overview Organization Scope Moving Forward PART I: THE ESSENTIALS Chapter 1. The Essentials on Short Bowel Syndrome: Guidelines

97. Rehabilitation Therapy For Short Bowel Syndrome
    Although some patients with short bowel syndrome (SBS) currently can survive after short bowel syndrome is life threatening because of the shortage of  
    http://www.cmj.org/information/full.asp?id=825

98. Rehabilitation Therapy For Short Bowel Syndrome
    Conclusions Rehabilitation therapy for short bowel syndrome can improve patientnutritional status effectively and promote intestinal adaptation,  
    http://www.cmj.org/information/abstract.asp?id=825

99. EMedicine - Short-Bowel Syndrome : Article By Michael AJ Sawyer, MD
    shortbowel syndrome - The average length of the adult human small intestine hasbeen calculated at approximately 600 cm from studies performed on cadavers.  
    http://www.emedicine.com/med/topic2746.htm
    
    Extractions: (advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery General Surgery Last Updated: November 18, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: SBS, short gut syndrome, anenteric malabsorption syndrome, malabsorption, maldigestion, malnutrition, diarrhea, fluid disturbances, electrolyte disturbances, total parenteral nutrition, TPN AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography Author: Michael AJ Sawyer, MD , Consulting Surgeon, Private Practice, Great Plains Surgical Clinic, Inc., Department of Surgery, Southwestern Medical Center, and Comanche County Memorial Hospital, Lawton, Oklahoma Coauthor(s): Elizabeth M Sawyer, MD, CPT, MC , Consulting Surgeon, Department of Surgery, Reynolds Army Medical Center, Fort Sill Michael AJ Sawyer, MD, is a member of the following medical societies:

100. APSA :: Resources For Parents : Short-Bowel Syndrome
     Table 1 Course of shortbowel syndrome in Infants and Children Table 2Factors Influencing Intestinal Function in short-bowel syndrome  
     http://www.eapsa.org/parents/short_bowel.cfm
     
     Extractions: What is a Pediatric Surgeon? Finding a Pediatric Surgeon Contact Us APSA Foundation ... Print w/out Graphics Short-Bowel Syndrome There are numerous definitions for short-bowel syndrome (SBS). The simplest definition is that there is inadequate intestine to maintain normal nutrition by eating. Because infants and children require increased calories to grow and develop, SBS can have a more devastating effect in these patients. Before the availability of total parenteral nutrition (TPN, food delivered into the veins), most infants and children with SBS died from malnutrition. The true incidence of SBS is unknown. A Canadian study suggested that it is present in 4.8 per 1 million people. SBS typically is the result of a catastrophic event involving the small intestine and possibly the colon (large intestine). Necrotizing enterocolitis and midgut volvulus from malrotation are the two most common causes of SBS. Other causes are listed in Table 1. The intestine has an enormous capacity to absorb secretions and ingested fluids (Figure 1). There is extra intestine normally which is why a major loss of the intestine may not result in SBS. Absorption occurs through the lining (mucosa) of the small intestine. Nutrients, vitamin B12, calcium, iron, and bile acids are absorbed through the cells of this lining. Mucus covers the surface of the mucosa cells and acts as a trap to hold nutrients in contact with the cell surface. Mucus also acts as a bacterial barrier.

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