Table 6

 Summary of the problems of a short bowel

Jejunum-colonJejunostomy
*Bacterial fermentation of carbohydrate salvages some energy, but D (−) lactic acidosis can occur if the diet is high in mono and oligosaccharides.
PresentationGradual, diarrhoea and undernutritionAcute fluid losses
Water, sodium, and magnesium depletionUncommon in the long-termCommon
Nutrient malabsorptionCommon*Very common
D (−) lactic acidosisOccasionallyNone
Renal stones (calcium oxalate)25%None
Gall stones (pigment)45%45%
AdaptationFunctional adaptationNo evidence
Social problemsDiarrhoeaHigh stomal output dehydration dependency on treatment