Editing Short bowel syndrome (section)

== '''Early phase management''' ==

* Replace fluid and electrolytes
** Volume losses may be >5L/day - need fluid balance
* TPN promptly as required
* Commence enteral diet as soon able to tolerate it, via feeding tube
** Debate over best initial diet
** Initially, high-carbohydrate high-protein diet maximises absorption
** Avoid milk products
** Begin at iso-osmolar concentration, which can be increased later
** Provide nutrients in simplest forms - elemental or polymeric diet
** Provide fat-soluble vitamins and zinc, magnesium and calcium
* Restore intestinal continuity as soon as possible