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Clinical Observations: Beyond the Prescription: Optimizing the Diet of Patients with Short Bowel Syndrome
Author(s) -
Byrne Theresa A.,
Veglia Linda,
Camelio Maria,
Cox Suzanne,
Anderson Sharon,
Wilson Jeanne,
Bennett Heather
Publication year - 2000
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453360001500606
Subject(s) - medicine , short bowel syndrome , medical prescription , parenteral nutrition , intensive care medicine , enteral administration , pharmacology
The nutrition and metabolic problems of patients with short bowel syndrome (SBS) are complex. Although much effort has been devoted to optimizing the provision of parenteral nutrition to these patients, much less attention has been devoted to the role that an optimal enteral or oral diet might play in the management of these individuals. In addition to the role that luminal nutrition plays in bowel adaptation following resection, the provision of an appropriate diet prescription can influence absorption or stool or ostomy output. To optimize the effect of diet manipulation, the diet prescription must be translated into foods, and the foods into appropriate meals that recognize the variability that exists in this patient population. In addition to reviewing available literature, observations based upon our clinical experience caring for nearly 400 patients with SBS are presented.