Reseña o resumen
The management of patients with Short Bowel Syndrome (SBS) is complex and requires a multidisciplinary approach including dietary, fluid and pharmacological management, co-morbid disease management and, occasionally, surgery. An understanding of the physiological alterations that occur in SBS is useful to understand the treatments employed for this condition. This book discusses these physiological alterations along with the roles of oral diet and fluid modifications, enteral and parenteral nutrition support, medications including trophic factors and surgical options.
FEATURES:
- Informs health care providers on Short Bowel Syndrome, providing a practical approach to the management of this condition
- Emphasizes a practical approach to diagnosis and treatment
- Features information on intestinal transplantation and other surgical options
- Begins each chapter with a brief outline of the contents revealing key words, and key clinical "pearls" conclude each chapter
- Includes references, suggested readings and additional resources at the end of each chapter
CONTENTS:
Foreword, Preface and Acknowledgments:. Background. Definition, Etiology and Epidemiology. Psychological, Social and Quality-of-Life Issues. Survival and Cost Concerns. Anatomical and Physiological Considerations. Intestinal Adaptation with Clinical Correlation
Complications of SBS: Undernutrition. Diarrhea. Electrolyte and Acid-Base Disturbances. Gallstones and Nephrolithiasis. Metabolic Bone Disease
Nutrition: Clinical and Nutritional Assessment. Diet. Fluids and Oral Rehydration Therapy. Vitamins (including deficiency states). Trace Elements (including deficiency states). Enteral Nutrition Use (including access options). Parenteral Nutrition Use (including access options)
Medications: Drug Delivery and Bioavailability. Antisecretory and Antimotility Medications. Other Medications (pancreatic enzymes, bile acids, bile binders, antimicrobials, probiotics and glutamine). Glucagon-like peptide-2. Growth hormone
Surgery: Surgical Considerations and Bowel Preserving Surgery. Ostomy and Wound Care. Autologous Gastrointestinal Reconstruction (including tissue-engineered bowel). Intestinal Transplantation
Home Parenteral Nutrition: General Guidelines and Factors Influencing Survival. Home Parenteral Nutrition Monitoring and Weaning. Intestinal Failure-Associated Liver Disease (include new IV lipid emulsions). Catheter-related Complications and Treatment. Support Groups and Useful SBS Resources/Websites for patients and providers. Patient Perspective.