García F B, Sanchez I, Arrieta F, Calañas A, Botella-Carretero J I, Zamarron I, Vázquez C
R-4 Endocrinología y Nutrición. H.U. Nuestra Señora de Candelaria. Tenerife..
R-4 Endocrinología y Nutrición. HU Princesa. Madrid..
Nutr Hosp. 2014 Feb 1;29(2):456-9. doi: 10.3305/nh.2014.29.2.7048.
The short bowel syndrome (SIC) is a complex entity characterized by a malabsorptive state usually secondary to extensive intestinal resection originating a clinical, metabolic and/or nutritional disorder due to the reduction of the effective intestinal absorptive surface. The diagnosis is essentially clinical and, due to the patients malabsorptive process, it requires nutritional support to maintain their basic requirements, as the case reported. The clinical features of SIC patients depend on the grade of the alteration of function of the the small intestine or the impairment secondary to the surgical resection. We know that electrolytes are absorbed predominantly in the proximal gut. The regulation of ion/mineral levels depend on both the intestinal absorption and the renal excretion. We present an unusual case of SIC with only low absorption of magnesium. We discuss the most outstanding aspects of the case and review the literature.
短肠综合征（SIC）是一种复杂的病症，其特征为吸收不良状态，通常继发于广泛的肠道切除术，由于有效肠吸收表面积减少而引发临床、代谢和/或营养紊乱。诊断主要依靠临床症状，并且由于患者存在吸收不良过程，如本病例报道所示，需要营养支持以维持其基本需求。SIC患者的临床特征取决于小肠功能改变的程度或手术切除后的损害程度。我们知道电解质主要在近端肠道吸收。离子/矿物质水平的调节取决于肠道吸收和肾脏排泄。我们呈现了一例仅镁吸收低的罕见SIC病例。我们讨论了该病例最突出的方面并回顾了相关文献。
