219. Practical Approaches to Short Bowel Syndrome Management
Members of the Medical Nutrition Practice Group’s Dietitians in Gluten and Gastrointestinal Disorder Short Bowel Syndrome (SBS) subgroup will present case-based scenarios to illustrate key clinical practice points for identifying and managing patients with short bowel syndrome. The case presentations will include methods to assess length and sites of remaining bowel, use of oral hydration solutions and nutritional supplementation in SBS, management of high ostomy output from enteral feedings in the SBS patient, and differentiation of medical nutrition therapy (MNT) for small bowel ostomy versus colon in continuity patients. The objective of each case vignette is to highlight key practice points that can build a developing clinician’s skills and confidence when caring for this complex patient population. The presentations will be followed by a panel discussion with the expert short bowel syndrome RDNs. Ample time will be reserved for questions and comments from the audience.
- Identify patients with SBS and understand ideal MNT treatment principles.
- Understand management principles to optimize small bowel ostomy output.
- Identify appropriate oral supplements for use in patients with SBS.
Learning Need Codes:
- 5220 Gastrointestinal disorders (disease/disorder)
- 3005 Nutrition Diagnosis
- 5440 Enteral and parenteral nutrition support (nutritional care)
- 10.2.8 Establishes the plan of care, directly addressing the nutrition diagnosis in collaboration with the patient in defining the time, frequency and duration of the intervention.
- 8.3.6 Keeps abreast of current nutrition and dietetics knowledge and trends.
Carol Ireton-Jones, PhD, RDN, LD, CNSC, FAND, FASPEN
Nutrition Therapy Specialist
Good Nutrition for Good Living
Carol Rees Parrish, MS, RDN
Nutrition Support Specialist
University of Virginia Health System
Neha Shah, MPH, RD, CNSC
Clinical Dietitian III
Digestive Health Center and Liver Clinic, Stanford Health Care
Elizabeth Wall, MS, RDN-AP, CNSC
RD IV- GI/Nutrition Support Specialist
The University of Chicago Medicine