Syndrome of the shortened intestine as a result of removal of part of the intestine requires the selection of a certain diet. It takes into account many factors of the general condition of a person.
The syndrome of the truncated intestine occurs due to resection (removal) of the intestine, its dysfunction, dying of tissues after the intestinal swelling, necrotic enterocolitis or tumor in the small intestine. Against the background of a decrease in the suction surface of the intestine, malbabsorption (diarrhea, as a consequence of insufficient cleavage of certain substances) develops.
Syndrome of truncated intestines and its manifestations
The degree of severity of manifestations of the syndrome of the shortened intestine depends on several factors:
- The length of the stored gut region. When removing the entire small intestine, the life expectancy is not more than 10 months. When shortening the small intestine, less than ½ of the clinical symptoms may be absent altogether;
- Location of a remote site. Removal of the part of the duodenum is extremely rare, as other parts of the intestine can not assume its function. At the same time, resection of the small intestine is possible due to the presence of compensatory functions in the colon and ileum;
- I will have other organs of the digestive system, such as the stomach, biliary tract, pancreas;
- The nature of the primary disease, which caused the need to remove part of the intestine;
- Adaptation possibilities of an organism of a sick person, which depend on his age and general state of health.
Nutrition with shortened intestinal syndrome
Syndrome of the short gut involves several variants of nutrition in the postoperative period:
- Natural normal or close to it nutrition;
- Natural nutrition with supplementary nutrients;
- Normal, natural nutrition with partial parenteral (intravenous) support;
- Complete parenteral nutrition.
A diet with shortened intestinal syndrome is intended to provide the body primarily with proteins and carbohydrates with a minimum fat content (less than 40 g/day). The food should contain about 2,500 calories. Consequently, all products must be fat-free. Eating the patient should be enriched with vitamins and minerals.
In the case of short intestine, additional vitamin and mineral supplements are added with high content of potassium, chlorine, magnesium, calcium salts. Salts of such metals as zinc, cadmium, manganese are prescribed in small doses. Man with shortened intestinal syndrome requires the intake of iron, folate and vitamins B1, B2, B12, A, D, E, K, as well as biotin and essential fatty acids.
To reduce diarrhea, effective medications that reduce intestinal motility, such as loperamide or codeine. The syndrome of the shortened intestine often accompanies the increase in secretion of gastric acid. To eliminate it, prescribe cimetidine.
Syndrome of the shortened intestine requires more than a serious approach to the composition of the diet. Usually this is what the doctor is doing.