Pogatschnik Cassandra, Russell Lindsey
Center for Human Nutrition, Cleveland Clinic, Cleveland, OH 44195, USA.
Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic, Cleveland, OH 44195, USA.
Nutrients. 2025 Jul 1;17(13):2198. doi: 10.3390/nu17132198.
Short bowel syndrome (SBS) is a rare but complex medical condition that requires expertise in management. The etiology in adults is commonly surgical resection for Crohn's disease or mesenteric ischemia and is classified based on the anatomy of the remaining bowel. An accurate assessment of the anatomy and nutritional and hydration status is necessary. Dietary therapy is essential to induce adaptation in SBS, provide adequate nutritional needs, and manage symptoms including stool burden. As general SBS guidelines on nutritional support and dietary interventions exist, SBS is unique to the individual and nutrition must also be personalized to the individual to improve quality of life. This review will highlight the principles of adaptation, dietary interventions in SBS, as well as future directions for this field.
短肠综合征（SBS）是一种罕见但复杂的病症，需要专业的管理知识。成人的病因通常是因克罗恩病或肠系膜缺血而进行的手术切除，并且根据剩余肠道的解剖结构进行分类。准确评估解剖结构以及营养和水合状态是必要的。饮食疗法对于诱导SBS适应、满足充足的营养需求以及管理包括粪便负担在内的症状至关重要。由于存在关于营养支持和饮食干预的一般SBS指南，但SBS因人而异，营养也必须因人而异进行个性化定制，以提高生活质量。本综述将重点介绍适应的原则、SBS中的饮食干预以及该领域的未来方向。
