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Short bowel syndrome
From WikEM
Contents
Background
- Well-recognized complication of gastric bypass
- Rapid post-prandial gastric emptying, release of gastric hormones, splanchnic vasodilation
- Hyperinsulinemic and hypoglycemic state
Clinical Features
- Nausea, vomiting, bloating, abdominal cramps, diarrhea, diaphoresis
- Early dumping= symptoms 30-60min after a meal
- Late dumping= symptoms 1-3 hours after a meal
Differential Diagnosis
Abdominal Pain Differential (Comprehensive)
Evaluation
Work-up
- Same as Abdominal Pain
- Diagnosis of exclusion
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
External Links
References
O'Brien M. Acute Abdominal Pain In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011:Chapter 74
