[Nutritional and dietary management after extensive intestinal resection]

ABSTRACT

Short bowel syndrome arose after extended intestinal resection over two meters. It was observed in 15% of intestinal resection in adults. Crohn's disease [in UK] and mesenteric ischemia [in France] were the most frequent etiologies. In adults, the incidence was estimated at two adults/million inhabitants/year. This review aimed to provide answer for these questions Who are patients interested by short bowel syndrome? 2. Which interventions are responsible? 3. What is evolution before and after nutritional assistance? An electronic search was performed between 1990 an 2006 in Medline database with the following keywords "short bowel disease", "treatment" and "inflammatory bowel disease". Recent literature reviews and meta analysis were retained or analysis. After an extensive intestinal resection, nutritional management should start early during the post operative course. This strategy will prevent in time life threatening complications. NPDA is indicated temporarily for short bowel syndrome until intestinal readaptation or definitively in case of severe short bowel syndrome to improve survival and quality of life