Adult Short Bowel Syndrome

Table of Contents

1. Normal Anatomy, Digestion, Absorption 2. Short Bowel Syndrome (SBS): Classification, Underlying Causes, and Global Footprint 3. Fluids and Electrolytes: Challenges with Short Bowel Syndrome 4. Gut Microbiome 5. Therapeutic Diet Modifications in Short Bowel Syndrome 6. Probiotics and Prebiotics 7. Enteral Nutrition and Access in SBS 8. Parenteral Support and Access (including alternative intravenous lipid emulsions, home parenteral support) 9. Metabolic Complications of HPN/SBS (MBD, dehydration, d-lactic acidosis) 10. Hepatobilliary Complications of HPN/SBS 11. Catheter / Infectious Complications (of Home Parenteral Nutrition) 12. Antidiarrheals, Antisecretory Agents, Pancreatic Enzymes 13. Antimicrobials for Bacterial Overgrowth 14. Intestinal Lengthening Procedures 15. Intestinal Transplantation (Indications, outcomes, challenges after transplant)

Authors

Corrigan, Mandy L. Ms. Corrigan is the Clinical Nutrition Manager of the Home Nutrition Support Service and the Center for Gut Rehabilitation and Transplant at Cleveland Clinic. She earned her Bachelor's degree in Dietetics at Bowling Green State University and completed a Master's Degree in Public Health from Cleveland State/North East Ohio Medical University. In her clinical practice, Mandy has specialized in the delivery of parenteral nutrition to patients with short bowel syndrome. Mandy's clinical research and publication topics include home parenteral nutrition (HPN), infection control strategies for HPN patients, management of fluids and electrolytes, and care of patients with gastrointestinal compromise. Roberts, Kristen Dr. Roberts is an Assistant Professor of Clinical Medicine in Medical Dietetics and Gastroenterology, Hepatology and Nutrition at The Ohio State University Wexner Medical Center. Her clinical expertise is caring for patients with malabsorptive and dysmotility syndromes requiring nutrition support. She specializes in clinical and translational research aimed at elucidating the intestinal absorption of bioactive compounds for prevention of chronic disease. Dr. Robert's laboratory focuses on the development of nutrition-based, human clinical trials and the impact of dietary patterns on disease prevention. Steiger, Ezra Dr. Steiger served as a staff surgeon at Cleveland Clinic, founded and directed the Nutrition Support Team, Home Parenteral Nutrition Program, and Intestinal Rehabilitation Program. He has over 200 publications to his credit focused on parenteral nutrition in the hospital and home settings. Dr. Steiger has served as a vice chairman of General Surgery and was elected president of the following organizations: Cleveland Surgical Society, The Ohio State Chapter of the American College of Surgeons, the American Society of Parenteral and Enteral Nutrition, and the Medical Staff of the Cleveland Clinic. Although retired from his surgical practice, he continues his nutrition support practice at Cleveland Clinic.