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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