Short Bowel Syndrome: A Complex Management Condition – A Case Report and Literature Review

Authors

  • Bruno Besteiro Serviço de Medicina Interna, Centro Hospitalar e Universitário de São João, Porto, Portugal; Departamento de Medicina, Faculdade de Medicina da Universidade do Porto, Porto, Portugal https://orcid.org/0000-0003-0120-5561
  • Filipa Gomes Serviço de Medicina Interna, Centro Hospitalar e Universitário de São João, Porto, Portugal; Departamento de Medicina, Faculdade de Medicina da Universidade do Porto, Porto, Portugal https://orcid.org/0000-0002-7919-2951
  • Sílvia Pinhão Faculdade de Ciências de Nutrição e alimentação da Universidade do Porto, Porto, Portugal https://orcid.org/0000-0002-3534-8344
  • Ana Filipa Amador Serviço de Cardiologia, Centro Hospitalar e Universitário de São João, Porto, Portugal https://orcid.org/0000-0003-2410-7075
  • Isabel Garrido Serviço de Gastrenterologia, Centro Hospitalar e Universitário de São João, Porto, Portugal https://orcid.org/0000-0002-7801-466X
  • Jorge Almeida Serviço de Medicina Interna, Centro Hospitalar e Universitário de São João, Porto, Portugal; Departamento de Medicina, Faculdade de Medicina da Universidade do Porto, Porto, Portugal https://orcid.org/0000-0002-1337-7179

DOI:

https://doi.org/10.24950/CC/286/20/1/2021

Keywords:

Enteral Nutrition, Parenteral Nutrition, Bowel Syndrome/therapy

Abstract

Short bowel syndrome (SBS) is characterized by a state of macro and micronutrient malabsorption which usually develops after small bowel resection. There is a weakly correlation between the amount of resected intestine and the clinical symptoms with the adaptation of bowel structure and function. We report a case of a 59-year-old man, who underwent a 100 cm small bowel resection developing malabsorption syndrome afterwards. Throughout the 95 days spent in hospital many complications of SBS with complex management arose. Although the patient was expected to have a poor prognosis, his nutritional status improved significantly through continuous parenteral and enteral nutrition. At discharge he had recovered carrying a 9 kg weight gain. SBS is a non-common disease reported in the literature as being a complex entity. The aim of this case is to report the process of the patient´s recovery and to provide a review of the physiopathology of this entity.

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Published

2021-09-20

How to Cite

1.
Besteiro B, Gomes F, Pinhão S, Amador AF, Garrido I, Almeida J. Short Bowel Syndrome: A Complex Management Condition – A Case Report and Literature Review. RPMI [Internet]. 2021 Sep. 20 [cited 2024 Dec. 18];28(1):39-45. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/85

Issue

Vol. 28 No. 1 (2021): January - March

Section

Case Reports

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