RT Generic
T1 Evidence-based recommendations of the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the management of adult patients with short bowel syndrome
A1 Vilchez-Lopez, Francisco J.
A1 Larran-Escandon, Laura
A1 Garcia-Almeida, Jose M.
A1 Arraiza-Irigoyen, Carmen
A1 Irles Rocamora, Jose A.
A1 Molina-Puerta, Maria J.
A1 Molina Soria, Juan B.
A1 Pereira-Cunill, Jose L.
A1 Rabat-Restrepo, Juana M.
A1 Rebollo-Perez, Maria I.
A1 Serrano-Aguayo, Maria P.
A1 Tenorio-Jimenez, Carmen
A1 Olveira, Gabriel
A1 Garcia-Luna, Pedro P.
K1 Short bowel syndrome
K1 Home parenteral nutrition
K1 Teduglutide
K1 Home parenteral-nutrition
K1 Bioelectrical-impedance analysis
K1 Quality-of-life
K1 Intestinal failure
K1 Clinical nutrition
K1 Enteral nutrition
K1 Trace-elements
K1 Position paper
K1 Teduglutide
K1 Guidelines
AB In order to develop evidence-based recommendations and expert consensus for the nutritional management of patients with short bowel syndrome (SBS), we conducted a systematic literature search using the PRISMA methodology plus a critical appraisal following the GRADE scale procedures. Pharmacological treatment with antisecretory drugs, antidiarrheal drugs, and somatostatin contributes to reducing intestinal losses. Nutritional support is based on parenteral nutrition; however, oral intake and/or enteral nutrition should be introduced as soon as possible. In the chronic phase, the diet should have as few restrictions as possible, and be adapted to the SBS type. Home parenteral nutrition (HPN) should be individualized. Single-lumen catheters are recommended and taurolidine should be used for locking the catheter. The HPN's lipid content must be greater than 1 g/kg per week but not exceed 1 g/kg per day, and omega-6 fatty acids (omega 6 FAs) should be reduced. Trace element vials with low doses of manganese should be used. Patients with chronic SBS who require long-term HPN/fluid therapy despite optimized treatment should be considered for teduglutide treatment. All patients require a multidisciplinary approach and specialized follow-up. These recommendations and suggestions regarding nutritional management in SBS patients have direct clinical applicability.
PB Aran ediciones, s l
SN 0212-1611
YR 2021
FD 2021-11-01
LK https://hdl.handle.net/10668/25254
UL https://hdl.handle.net/10668/25254
LA en
DS RISalud
RD Apr 7, 2025