61. Nutriquest, July 2nd, 1999 - Diet After Intestinal Surgery short bowel syndrome. Surgery on the small intestine can sometimes causea condition called short bowel syndrome. This is a condition http://www.nutrition.cornell.edu/nutriquest/070299/ostomy.html

62. Member Sign In Management of the shortbowel syndrome. Surg Clin North Am. An open trial of octreotidelong-acting release in the management of short bowel syndrome. http://www.medscape.com/viewarticle/439683_18

If you are having trouble logging in: In order to use Medscape, your browser must be set to accept "cookies." To find out how to adjust your browser settings, please click here Log In Username Password Forgot your password? Not a Member? Register Now for free access to: MEDLINE (Optimized for Physicians) 200+ Free CME Courses 25 Medical Specialty Sites 100+ Medical Journals Conference Coverage Daily Medical News About Medscape Help WebMD Health

63. ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Short Bowel Syndr short bowel syndrome. Call Your Healthcare Provider Call for an appointment withyour health care provider if symptoms of short bowel syndrome develop. http://www.enlmedical.com/article/000237.htm

Medical Dictionary Naturapathic Glossary Aphrodisiacs Immune System ... Table of content Short bowel syndrome Causes and Risks: The lack of adequate surface to absorb nutrients from food occurs when specialized areas of the bowel are removed. When one-half of the bowel or more is removed during surgery, the risk of small bowel syndrome is great. Risk factors include diseases of the small intestine that may require surgical intervention such as regional enteritis or Crohn's disease Necrotizing enterocolitis is a common cause of this syndrome in infants. Prevention: this may be an unavoidable complication of extensive bowel surgery. Symptoms: stools - floating stools - foul smelling diarrhea edema ... pallor Signs and Tests: Chem 20 that reveals signs of malabsorption (inadequate absorption of nutrients from the intestinal tract) CBC that reveals anemia stool examination ( fecal fat Treatment: The treatment is for the relief of symptoms. A high-calorie and low-residue diet supplying essential vitamins and minerals is necessary.

64. Short Bowel Syndrome short bowel syndrome refers to the malabsorption of food nutrients dueto disease or surgical removal of parts of the small intestine. http://www.betterhealth.vic.gov.au/bhcv2/bhcArticles.nsf/LFourPagesMoreInfo/Shor

65. Small Bowel Remnant In Centimeters Colon Remnant Rectum Remnant 12.19 Nutrition Management of Patients with short bowel syndrome. Totalparenteral nutrition needs in different types of short bowel syndrome. http://www.medal.org/docs_ch12/doc_ch12.19.html

Patients with Short Bowel Syndrome Table of Contents, Chap. 12 Method of Gouttebel et al for Predicting Duration of Total Parenteral Nutrition in Patients with Short Bowel Syndrome Overview: Gouttebel et al identified findings in patients with the short bowel syndrome that predict the probable duration required for total parenteral nutrition (TPN). They identified a correlation between the length of residual small bowel and the necessary duration of nutritional support. The authors are from the Cancer Institute in Montepellier France. NOTE: According to Gray's Anatomy (page 1763 in the 38th Edition 1995 the small intestine ranges from 3.35 to 7.16 meters in women and 4.88 to 7.85 meters in men. Parameters: (1) length of small bowel remnant (2) presence/absence of colon remnant (3) presence/absence of colon remnant Small Bowel Remnant in centimeters Colon Remnant Rectum Remnant Group Duration of TPN 50 – 70 cm present present A 1-6 months 80 – 150 cm present or absent present or absent A 1-6 months 40 – 70 cm half (partial) present B 6-12 months 10 – 30 cm present or absent present or absent C permanent absent absent C permanent after Table 2 page 722 where: • In the implementation I had the first entry for group A as 50 – 80 cm and group B from 40 – 80 cm. This is to cover the gap from 70-80 cm.

66. Health Content Encyclopedia Article Short Bowel Syndrome short bowel syndrome Call Health Care Provider. Call for an appointment with yourhealth care provider if symptoms of short bowel syndrome develop. Prevention. http://www.baptisteast.com/adamcontent/ency/article/000237.asp

67. Health Library Find Information On Short Bowel Syndrome At Find information on short bowel syndrome at MerckSource. Learn more aboutShort short bowel syndrome. Definition A condition of malabsorption http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcns

68. Short Bowel Syndrome : Meddie Health Search (Rating 0.00 Votes 0) Rate It. short bowel syndrome A brief look atthis syndrome and what it is, the symptoms, reasons and treatment. http://www.meddie.com/search/Health/Conditions_and_Diseases/Digestive_Disorders/

HOME ADD A LINK MODIFY A LINK NEW LINKS ... TOP RATED Search Meddie: the entire directory only this category More search options Home Health Conditions and Diseases ... Intestinal : Short Bowel Syndrome ITEMS: LINKS: Intestinal Transplant Support Group For those who had or are waiting on a small bowel or liver/small bowel transplant. A message board for sharing. (Rating: 0.00 Votes: 0) Rate It Seth's Story Seth was born at 32.5 weeks gestation with the majority of his intestines exposed. The exposed intestine was also gangrenous, thus he lost most of his small intestine. (Rating: 0.00 Votes: 0) Rate It Short Bowel Syndrome A brief look at this syndrome and what it is, the symptoms, reasons and treatment. (Rating: 0.00 Votes: 0) Rate It Short Bowel Syndrome Site I was born with a rare condition called Short Bowel Syndrome, which left me virtually unable to digest food. (Rating: 10.00 Votes: 1) Rate It HOME ADD A LINK MODIFY A LINK ... Design © ISC Enterprises Inc.

69. Kaya Estlyn Shepherd-Poppick's Home Page: Kaya - Transplanted - 10/20/99! Similar pages short bowel syndrome http://home.earthlink.net/~jelb7869/

Kaya Estlyn Shepherd-Poppick's Home Page: KAYA GETS SMALL BOWEL/LIVER TRANSPLANT - OCT. 20TH 1999 This page was last updated on 3/5/2001(text) -3/5/2001(photos) Welcome to Kaya Estlyn Shepherd-Poppick's Home Page! Hi!!! My name is Kaya Estlyn. I was born on November 9th, 1998, and I'm as cute as a button. I live in Missoula, Montana with my Mom, (Elliot), and my Dad, (Jesse). I am a very sweet and good-natured little girl, and I love to smile and talk to people. My current hobbies are: playing with HaHa and B, walking to the park, running in the yard, watching Blues Clues, and telling stories. My life is great now, but had a rough first year. I was born without much small intestine, and had to spend months and months in the hospital. I've had twelve surgeries (some big, some little), and I've been sick a lot. When the doctors told us that I needed to have a transplant, my parents took me to different hospitals and put me on several organ donor lists, but it took a long time to get my new liver and intestine. Thank goodness my new organs finally came October 20th, 1999! Now I'm feeling much better. My life is great since my transplant...my parents and I would like to thank everyone who has given us support and love over the last year: family, friends, doctors, and nurses - We could not have done it with out you!

70. Short Bowel Syndrome http://medi-smart.com/peds_safeguarding.htm

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71. Short Bowel Syndrome Resources On The Internet HealthCyclopedia, short bowel syndrome. Health News, short bowel syndrome A brieflook at this syndrome and what it is, the symptoms, reasons and treatment. http://www.healthcyclopedia.com/short_bowel_syndrome.html

Home Health Conditions by Category ... Contact Us Short Bowel Syndrome Health News Search millions of published articles for news on Short Bowel Syndrome The eLibrary newspaper and magazine archive contains articles from current and back issues of hundreds of publications, including: Modern Medicine Aging The Ardell Wellness Report HealthFacts The Journal of Environmental Health Medical Post Medical Update Men's Health and the National Women's Health Report Note: To access the full text of articles, sign up for a seven-day no-risk free trial subscription to eLibrary. Web Directory Web Links: Seth's Story - Seth was born at 32.5 weeks gestation with the majority of his intestines exposed. The exposed intestine was also gangrenous, thus he lost most of his small intestine. Short Bowel Syndrome - A brief look at this syndrome and what it is, the symptoms, reasons and treatment. Short Bowel Syndrome Site - Welcome to Kaya Estlyn Shepherd-Poppick's Home Page! I was born with a rare condition called Short Bowel Syndrome, which left me virtually unable to digest food. The Web Directory section is adapted from the Open Directory Help build the largest human-edited directory on the web.

72. Ohio Solid Organ Transplantation Consortium - Small Bowel Criteria transplants and combined small bowel/liver transplants are investigational treatmentsfor adult and pediatric patients with short bowel syndrome and short http://www.osotc.org/cr_sb.htm

SMALL BOWEL PATIENT SELECTION CRITERIA Background: Indications: Small bowel transplantation is indicated in patients with irreversible intestinal failure and permanent dependence on total parenteral nutrition. Conditions potentially leading to irreversible intestinal failure are listed in, but not limited to, those indications in the following chart. Small bowel transplant alone is presently the preferred procedure in patients where irreversible intestinal failure and permanent dependence on parenteral nutrition is identified prior to the development of progressive cholestasis secondary to TPN and subsequent liver function deterioration. Every possible effort should be made to identify patients when possible during this clinical phase. In patients where liver function is felt to be irreparably damaged, combined small bowel/liver transplant may be indicated. The increased complexity of the combined small bowel/liver transplant procedure makes it a less acceptable risk option for patients. Patients with liver failure due to diseases that are Consortium-approved, specific indications for liver transplantation alone, and who also have short bowel syndrome, may also be considered on an individual basis for combined small bowel/liver transplantation. Contraindications to isolated small bowel and combined small bowel/liver transplantation are listed below. All patients considered for small bowel transplant procedures will be considered and approved through the existing Consortium mechanism by all Consortium-approved centers.

73. Neocate Research References short bowel syndrome. 2001 Order Reprint Nutritional and Other Postoperative Managementof Neonates with short bowel syndrome Correlates with Clinical Outcomes. http://www.shsweb.co.uk/neocate/prof/abstract/SBS.html

Short Bowel Syndrome 7 refs / abstracts /2 reprints Goulet O. 2001 Abstract from presentation given at SHS Satellite Symposium Geneva 2001 Andorsky et al. 2001 Order Reprint Nutritional and Other Postoperative Management of Neonates with Short Bowel Syndrome Correlates with Clinical Outcomes. J Pediatr 2001; 139: 27-33 Bines et al. 1999 Order Reprint Reducing Parenteral Requirement in Children with Short Bowel Syndrome: Impact of an Amino Acid-Based Formula. J Pediatr Gastroentrol Nutr 1999; 26: 123-8 Short Bowel Syndrome, Intestinal Permeability and Glutamine. J Pediatr Gastroentrol Nutr 1998; 27: 614-615 (Letter) Bines J Journal of Pediatric Gastroenterology and Nutrition 1998; 27: 615-616 (Letter)

74. GLP-2 Secretion And Metabolism Do patients with intestinal failure and short bowel syndrome exhibitrelative GLP2 deficiency? In a carefully designed study of http://www.glucagon.com/glp-2_secretion_and_metabolism.htm

Proglucagon glucagon GLP-1 GLP-2 oxyntomodulin glicentin DP IV Exendin-4 GLP-2R GIP Exendin (9-39) Glucagonoma GLP-1R PC2 Intervening peptides Islet A cells Hypoglycemia Enteroendocrine cells Drucker Lab DPP- IV Exendin GIP ... Home Both GLP-1 and GLP-2 are secreted from gut endocrine cells in the small and large intestine. Secretion of these peptides is predominantly regulated by nutrient intake, as shown in Brubaker PL, Crivici A, Izzo A, Ehrlich P, Tsai CH, Drucker DJ. Circulating and tissue forms of the intestinal growth factor, glucagon-like peptide-2 . Endocrinology. 1997 Nov;138(11):4837-43. Furthermore, GLP-2 , like GLP-1 is subject to N-terminal degradation by the enzyme DP IV. Accordingly, GLP-2 analogues that are resistant to DP IV are more potent in vivo , as shown in Drucker D.J ., Shi, Q., Crivici, A., Sumner-Smith, M., Tavares, W., Hill, M. DeForest, L., Cooper, S., and Brubaker, P.L. Regulation of the biological activity of glucagon-like peptide 2 in vivo by dipeptidyl peptidase IV Nature Biotechnology 1997 15:673-677 How is GLP-2 metabolized and cleared from the circulation? Wendy Tavares and colleagues present studies of

75. Read Latest Health Issues Of ~~HealthyMAIL® SHORT BOWEL SYNDROME short bowel syndrome. short bowel syndrome is a group of problems affectingpeople who have had half or more of their small intestine removed. http://www.doctorhealthynet.com/diseases/diseases_A-Z/diseases_P-T/short_bowel.h

Read Latest Health Issues of Healthy MAIL SHORT BOWEL SYNDROME Short bowel syndrome is a group of problems affecting people who have had half or more of their small intestine removed. The most common reason for removing part of the small intestine is to treat Crohn's disease. Diarrhea is the main symptom of short bowel syndrome. Other symptoms include cramping, bloating, and heartburn. Many people with short bowel syndrome are malnourished because their remaining small intestine is unable to absorb enough water, vitamins, and other nutrients from food. They may also become dehydrated, which can be life threatening. Problems associated with dehydration and malnutrition include weakness, fatigue, depression, weight loss, bacterial infections, and food sensitivities. Short bowel syndrome is treated through changes in diet, intravenous feeding, vitamin and mineral supplements, and medicine to relieve symptoms. Reviewed: 11-11-00 by Ben E. Kitchens M.D.

76. Short Bowel Syndrome syndrome. short bowel syndrome. Call for an appointment with your healthcare provider if symptoms of short bowel syndrome develop. Disclaimer http://www.rwjuhh.net/Atoz/encyclopedia/article/000237.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Disease S -> Short bowel syndrome Short bowel syndrome Alternate Names: Small intestine insufficiency Causes and Risks: The lack of adequate surface to absorb nutrients from food occurs when specialized areas of the bowel are removed. When one-half of the bowel or more is removed during surgery, the risk of small bowel syndrome is great. Risk factors include diseases of the small intestine that may require surgical intervention such as regional enteritis or Necrotizing enterocolitis is a common cause of this syndrome in infants. Prevention: This may be an unavoidable complication of extensive bowel surgery. Symptoms: Stools - floating Stools - foul smelling Diarrhea Edema ... Pallor Signs and Tests: Chem 20 that reveals signs of malabsorption (inadequate absorption of nutrients from the intestinal tract) CBC that reveals anemia Stool examination ( fecal fat Treatment: The treatment is for the relief of symptoms. A high-calorie and low-residue diet supplying essential vitamins and minerals is necessary.

77. Aetna: Intestinal Rehabilitation Programs Pathophysiology, clinical aspects and therapy of short bowel syndrome. Chirurg. WeireiterL. Nutritional hope or hype for short bowel syndrome? http://www.aetna.com/cpb/data/CPBA0342.html

Home Coverage Policy Bulletins Medical Coverage Policy Bulletins Number: 0342 Subject: Intestinal Rehabilitation Programs Important Note http://cms.hhs.gov/manuals/pub06pdf/pub06pdf.asp Policy Aetna does not Background Intestinal rehabilitation is the process of intestinal adaptation through which the remaining small intestine gradually increases its absorptive capacity. CPB #605 - Intestinal Transplantation for coverage of intestinal transplantation for patients who have failed TPN). Potential long-term survival without parenteral nutrition heavily depends on stimulation of the process of intestinal adaptation. Substances such as growth hormone, glutamine, and fiber exert bowel-specific trophic effects and have been used to either directly or indirectly influence nutrient absorption. Such therapy supposedly enhances growth of villi in the intestine and prolongs the time it takes for food to pass through the intestine, thereby promoting absorption of nutrients and fluids across the remaining bowel. Although early studies appeared to show that this type of intestinal rehabilitation was beneficial, recent randomized controlled trials reported that growth hormone, glutamine, and low-fat/high-carbohydrate diet are ineffective in enhancing the gastrointestinal function of patients with short-gut syndrome.

78. - - - - HEALTHOLOGY - - - - Hormonal Therapy for short bowel syndrome, Hormonal Therapy for short bowel syndrome,Transcript ». Bowel Problems. Making Do With Less short bowel syndrome. http://projectinform.healthology.com/focus_index.asp?f=gi&b=projectinform

79. Noguts Country Club Trying to help others with short bowel syndrome along the way. But, The No Guts CountryClub is a place that everyone with short bowel syndrome can call home. http://www.noguts.us/

Click on Flag for National Anthem Our Mission at the Noguts Country Club Trying to help others with Short Bowel Syndrome along the way. The Discussion Board is off line Well, once again I will see if I can repair the discussion board. Right now it is off line, I will have it back as soon as I can. I may have to replace it as it looks like some of the information is gone. Pray that we can save it... Thanks for understanding... Jim Who We Are Hi and welcome to The No Guts Country Club. My name is Jim, just so you will know I am a real person. Every thing I say is from my experience in the last eleven years with Short Bowel Syndrome, in fact I have what is called Extreme Short Bowel Syndrome. I have " about " 12 inches of active small intestine and "about" 10 inches of small intestine that was really not useable to ingest vitamins, but was viable enough to use as a conduit and reconnect. This give the Doctors enough that I could be re-connected and not have an ostomy. I have about 22" total out of a possible 22 FT or so that is normal My small Intestine is made up of short pieces, mainly some of the "loops", sewn together, and according to the Doctors the longest single piece of intestine is "

80. New Research On Intestinal Rehabilitation Related Publications Growth Hormone, Glutamine and a Modified Diet EnhancesNutrient Absorption in Patients with Severe short bowel syndrome. http://www.nrcenter.com/research.html

Research aimed at improving the care of patients with complex gastro-intestinal disorders and nutritional problems is a major focus of the NRC. Various in-patient and outpatient studies are available to patients with diverse diagnoses. To learn more about ongoing and future studies available at the NRC, call 1-800-867-6761 ext. 19 or email us at inquire@nrcenter.com Related Publications: Growth Hormone, Glutamine and a Modified Diet Enhances Nutrient Absorption in Patients with Severe Short Bowel Syndrome. Journal of Parenteral and Enteral Nutrition 19: 296-302, 1995 A New Treatment for Patients with Short-Bowel Syndrome. Annals of Surgery 222: 243- 255, 1995 Advances in the Management of Patients with Intestinal Failure. Transplantation Proceedings 28: 2683-2690, 1996. Factors Predicting a Successful Outcome After Pharmacologic Bowel Compensation. Annals of Surgery 226: 288-293, 1997 Short Bowel Syndrome: New Therapeutic Approaches. Current Problems in Surgery 34: 389-444, 1997. Case Reports: The Role of Growth Factors in the Management of Patients with Severe Short Bowel Syndrome. Support Line 21: 1-7, 1999 Approach to the Patient with Short Bowel Syndrome. Therapy of Digestive Disorders. W. B. Saunders Company. 557- 564, 2000.

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