Diferencia entre revisiones de «Short bowel syndrome»
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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==Background== | ==Background== | ||
*Well-recognized complication of gastric bypass | *Well-recognized complication of gastric bypass | ||
*Rapid post-prandial gastric emptying, release of gastric hormones, splanchnic vasodilation | *Rapid post-prandial gastric emptying, release of gastric hormones, splanchnic vasodilation | ||
*Hyperinsulinemic and hypoglycemic state | *Hyperinsulinemic and hypoglycemic state | ||
==Clinical Features== | ==Clinical Features== | ||
*Nausea | |||
*[[Special:MyLanguage/Nausea/vomiting|Nausea/vomiting]], bloating, [[Special:MyLanguage/abdominal pain|abdominal cramps]], [[Special:MyLanguage/diarrhea|diarrhea]], diaphoresis | |||
**Early dumping= symptoms 30-60min after a meal | **Early dumping= symptoms 30-60min after a meal | ||
**Late dumping= symptoms 1-3 hours after a meal | **Late dumping= symptoms 1-3 hours after a meal | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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{{Abdominal Pain DDX Diffuse}} | |||
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==Evaluation== | ==Evaluation== | ||
* | *See [[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | ||
*Diagnosis of exclusion | *Diagnosis of exclusion | ||
==Management== | ==Management== | ||
*Dietary Modifications | *Dietary Modifications | ||
**Avoid highly concentrated foods | **Avoid highly concentrated foods | ||
**Separate eating and drinking | **Separate eating and drinking | ||
*Octreotide | *[[Special:MyLanguage/Octreotide|Octreotide]] | ||
**Positive case reports | **Positive case reports | ||
==Disposition== | ==Disposition== | ||
*Home if other diagnoses excluded and able to tolerate oral intake | *Home if other diagnoses excluded and able to tolerate oral intake | ||
==See Also== | ==See Also== | ||
[[Gastric bypass surgery]] | |||
[[Special:MyLanguage/Gastric bypass surgery|Gastric bypass surgery]] | |||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
O'Brien M. Acute Abdominal Pain In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011:Chapter 74 | O'Brien M. Acute Abdominal Pain In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011:Chapter 74 | ||
<references/> | <references/> | ||
[[Category:GI]] [[Category:Surgery]] | [[Category:GI]] [[Category:Surgery]] | ||
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Revisión actual - 23:58 4 ene 2026
Background
- Well-recognized complication of gastric bypass
- Rapid post-prandial gastric emptying, release of gastric hormones, splanchnic vasodilation
- Hyperinsulinemic and hypoglycemic state
Clinical Features
- Nausea/vomiting, bloating, abdominal cramps, diarrhea, diaphoresis
- Early dumping= symptoms 30-60min after a meal
- Late dumping= symptoms 1-3 hours after a meal
Differential Diagnosis
Diffuse Abdominal pain
- Abdominal aortic aneurysm
- Acute gastroenteritis
- Aortoenteric fisulta
- Appendicitis (early)
- Bowel obstruction
- Bowel perforation
- Diabetic ketoacidosis
- Gastroparesis
- Hernia
- Hypercalcemia
- Inflammatory bowel disease
- Mesenteric ischemia
- Pancreatitis
- Peritonitis
- Sickle cell crisis
- Spontaneous bacterial peritonitis
- Volvulus
Evaluation
- See Abdominal Pain
- Diagnosis of exclusion
Management
- Dietary Modifications
- Avoid highly concentrated foods
- Separate eating and drinking
- Octreotide
- Positive case reports
Disposition
- Home if other diagnoses excluded and able to tolerate oral intake
See Also
External Links
References
O'Brien M. Acute Abdominal Pain In: Tintinalli's Emergency Medicine. 7th ed. McGraw-Hill. 2011:Chapter 74