Abstract
Short bowel syndrome develops after extensive gut resections. Malabsorbtion dominates the clinical picture, together with steatorhea and related comorbidities.
Ileum preservation plays a major role with respect to long-term prognosis as it has a significant adaptation ability after gut resection. The patients with short bowel syndrome are dependent on arteficial nutrition.
In the early stages after gut resection they require total parenteral nutrition while later it can be combined with enteral nutrition. In case of successful intestinal adaptation some patients may withdraw the parenteral nutrition and hydratation and use just an enteral feeding.
The patients with a short bowel syndrome require a longterm treatment by experienced multidisciplinary teams.