Andrea Fojtová, Barbora Desatová, Tomáš Zamborský, Khaled Radwan
Short bowel syndrome represents a set of symptoms that arises from a loss of substantial functional or anatomical part of the absorptive surface of the intestinal mucosa. It is quite a common consequence of repeated resection of the small intestine in patients with Crohn‘s disease inadequately controlled or resistant to treatment, but also thrombosis or embolism of mesenteric arteries are frequent causes of short bowel syndrome. Clinically it is manifested by diarrhoea, dehydration, malnutrition, steatorrhoea, water and electrolyte imbalance, which may lead to life threatening conditions. Non-surgical treatment for short bowel syndrome copies its various stages. The aim of the conservative treatment is mainly maintaining nutritional integrity of the organism and a gradual adaptation of the intestine, which allows for a gradual transition to oral intake.