Short bowel syndrome

Revision as of 00:12, 30 September 2019 by ClaireLewis (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

Background

  • Well-recognized complication of gastric bypass
  • Rapid post-prandial gastric emptying, release of gastric hormones, splanchnic vasodilation
  • Hyperinsulinemic and hypoglycemic state

Clinical Features

Differential Diagnosis

Diffuse Abdominal pain

Evaluation

Management

  • Dietary Modifications
    • Avoid highly concentrated foods
    • Separate eating and drinking
  • Octreotide
    • Positive case reports

Disposition

  • Home if other diagnoses excluded and able to tolerate oral intake

See Also

Gastric bypass surgery

External Links

References

O'Brien M. Acute Abdominal Pain In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011:Chapter 74