Short bowel syndrome
* mc disorders ¨ç massive intestinal resection
¨è regional enteritis c multiple bowel resection
¨é jejunoileal bypass for morbid obesity
proximal duodenum, ileum distal 1/2, IC valve°¡ spareµÇ¸é small bowel 40-50%
resectionÇØµµ well tolerable.
±×·¯³ª ileum, IC valve resectionÇϸé 30%¹Ì¸¸À» resectionÇß´õ¶óµµ severe diarrhea,
malabsorptionÀ¯¹ß.
* Ä¡·á
¨ç diet > 2500 Cal
CHO, proteinÀ§ÁÖ·Î Çϰí fatÀº 40g/d ÀÌÇÏ·Î Á¦ÇÑ
¨è vit, mineral, ÇʼöÁö¹æ»ê °ø±Þ
¨é diarreha control : loperamide, codeineµî
¨ê bile salt-sequestering agent(cholestyramine)
¨ë gastric acid hypersecretion
: ÀϽÃÀû, pancreatic enzyme inactivation, pancreatic secretion dilution
-> H2 blocker, PPI°¡ À¯¿ë