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
βœ‚οΈ < 200cm SB remaining 🟰#SBS
βœ‚οΈ > 200cm SB remaining βž•intestinal failure (need for IVF/PN, multiple vitamin deficiencies) 🟰#SBS too
βœ‚οΈ Intraop bowel πŸ“ GREATLY appreciated!
βœ‚οΈ Colon in continuity?
πŸ”‘ 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 βž•): Max adaptation
πŸ”‘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 - πŸ’πŸš«πŸ‡
πŸ›‘ Loperamide 4mg QID & Diphenoxylate/atropine 2 tabs QID (🍽️&πŸ›Œ)
πŸ›‘ Take 30-60min before 🍽️ for optimal 🐒
πŸ›‘ 🚫 Bile acid binders if > 100cm SB gone
πŸ”‘ πŸ‘€for obstructive symptoms and adjust accordingly
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