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Adeeti Chiplunker MD Profile picture
Adeeti Chiplunker MD
@A_ChiplunkerMD
IBDologist, GI APD & IBD PD @OSUWexMed. Expertise in short gut and IBD, especially #SBSinIBD. Tweets my own. Retweets are not endorsement
Mar 17, 2023 • 8 tweets • 25 min read
@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 @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!