Discover and read the best of Twitter Threads about #SBSinIBD
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@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 1/8 Anatomy & Definitions
✂️ < 200cm SB remaining 🟰#SBS
✂️ > 200cm SB remaining ➕intestinal failure (need for IVF/PN, multiple vitamin deficiencies) 🟰#SBS too
✂️ Intraop bowel 📏 GREATLY appreciated!
✂️ Colon in continuity?
🔑 Anatomy guides diet & treatment recommendations
✂️ < 200cm SB remaining 🟰#SBS
✂️ > 200cm SB remaining ➕intestinal failure (need for IVF/PN, multiple vitamin deficiencies) 🟰#SBS too
✂️ Intraop bowel 📏 GREATLY appreciated!
✂️ Colon in continuity?
🔑 Anatomy guides diet & treatment recommendations
@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 2/8 Bowel Adaptation takes TIME
⏳Stage 1 (1-3mo post op): ⬆️ output, ⬆️ gastric acid
⏳ Stage 2 (3mo-1yr): ⬆️PO intake (crucial for adaptation), ⬇️ parenteral support
⏳ Stage 3 (1-2yrs ➕): Max adaptation
🔑Set appropriate expectations for patients, caregivers and providers!
⏳Stage 1 (1-3mo post op): ⬆️ output, ⬆️ gastric acid
⏳ Stage 2 (3mo-1yr): ⬆️PO intake (crucial for adaptation), ⬇️ parenteral support
⏳ Stage 3 (1-2yrs ➕): Max adaptation
🔑Set appropriate expectations for patients, caregivers and providers!
@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 3/8 Control Diarrhea - 🐢🚫🐇
🛑 Loperamide 4mg QID & Diphenoxylate/atropine 2 tabs QID (🍽️&🛌)
🛑 Take 30-60min before 🍽️ for optimal 🐢
🛑 🚫 Bile acid binders if > 100cm SB gone
🔑 👀for obstructive symptoms and adjust accordingly
🛑 Loperamide 4mg QID & Diphenoxylate/atropine 2 tabs QID (🍽️&🛌)
🛑 Take 30-60min before 🍽️ for optimal 🐢
🛑 🚫 Bile acid binders if > 100cm SB gone
🔑 👀for obstructive symptoms and adjust accordingly
