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Short Bowel/Gut Syndrome - Coggle Diagram
Short Bowel/Gut Syndrome
Intro
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= requirement for IV nutritional + fluid supplementation in those with < 25% of remaining SI that is expected for gestational age
complex disorder with nutritional, metabolic, + infectious consequences
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Aetiology
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Various nonop procedures can leave patients with functional short-bowel syndrome e.g. radiation enteritis
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Investigations
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Liver bx rarely, to evaluate for TPN-related liver disease
Tx
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early + aggressive enteral tx = most important stimulus for intestinal adaptation + eventual discontinuation of TPN
Teduglutide indicated for children aged 1+ y/o with short bowel syndrome who are dependent on parenteral support
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