Adaptation of the remaining bowel The fundamentals of therapy after surgical removal of small bowel segments are the rapid onset of adaptation processes. The processes of adaptation are of considerable importance because the remaining intestine has to take over the tasks of the removed segment as well. During adaptation, the increased use of the remaining … Malabsorption after Small Bowel Resection: Nutrition Therapy
The following are the most important diseases or complications that may be contributed to by small bowel resection (partial small bowel resection): Respiratory system (J00-J99) Pneumonia (inflammation of the lungs) Endocrine, nutritional, and metabolic diseases (E00-E99). Malnutrition (malnutrition) Infectious and parasitic diseases (A00-B99). Infections Circulatory system (I00-I99) Thromboembolism – occlusion of a pulmonary artery by … Malabsorption after Small Bowel Resection: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? Hernias (fractures)? Auscultation (listening) of the … Malabsorption after Small Bowel Resection: Examination
Laboratory parameters of 1st order – obligatory laboratory tests in short bowel syndrome. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: Nitrite, protein, hemoglobin, erythrocytes, leukocytes, urobilinogen) incl. sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for … Malabsorption after Small Bowel Resection: Test and Diagnosis
The following symptoms and complaints may indicate malabsorption after partial small bowel resection (small bowel resection): Chologenic (fat-related) and osmotic diarrhea (diarrhea), respectively. Chologenic steatorrhea (fatty stool/diarrhea). Weight loss Specific nutrient and vital substance deficiency symptoms resulting from the absorption disorders.
General measures Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day) or, in the context of the light whole food diet, alcohol restriction (abstention from alcohol). Limited caffeine consumption (max. 240 mg of caffeine per day; this corresponds to 2 to 3 cups of coffee or 4 … Malabsorption after Small Bowel Resection: Therapy