title: [Nutritional and dietary management after extensive intestinal resection].
abstract: BACKGROUND
  Short bowel syndrome arose after extended intestinal resection over two meters. It was observed in 15% of intestinal resection in adults. Crohn's disease (in UK) and mesenteric ischemia (in France) were the most frequent etiologies. In adults, the incidence was estimated at two adults/million inhabitants/year.
  
  
  OBJECTIVE
  This review aimed to provide answer for these questions: 1. Who are patients interested by short bowel syndrome? 2. Which interventions are responsible? 3. What is evolution before and after nutritional assistance?
  
  
  METHODS
  An electronic search was performed between 1990 an 2006 in Medline database with the following keywords: "short bowel disease", "treatment" and "inflammatory bowel disease". Recent literature reviews and meta analysis were retained for analysis.
  
  
  RESULTS
  After an extensive intestinal resection, nutritional management should start early during the post operative course. This strategy will prevent in time life threatening complications. NPDA is indicated temporarily for short bowel syndrome until intestinal readaptation or definitively in case of severe short bowel syndrome to improve survival and quality of life.
authors.affiliation: Service de Gastro-entérologie, Hôpital Charles Nicolle.
authors.forename: Yassine
authors.initials: Y
authors.lastname: Jemaa
authors.forename: Mouna
authors.initials: M
authors.lastname: Chaieb
authors.forename: Mohamed
authors.initials: M
authors.lastname: Salem
authors.forename: Taoufik
authors.initials: T
authors.lastname: Najjar
mesh_terms: D006801:Humans; D010288:Parenteral Nutrition; D012778:Short Bowel Syndrome / Q000178:diet therapy / Q000628:therapy*