Short Bowel Syndrome |Diagnosis & Treatment
How is short bowel syndrome diagnosed?
评价短肠综合征,孩子的clinician will take a detailed medical history, perform a physical examination, order various specialized laboratory tests and may also order tests to show any structural problems with the intestine. These can include:
- abdominalx-ray, often with contrast material to better define the gastrointestinal anatomy and function
- abdominalultrasound, to evaluate blood vessel structures as well as various organs
- modified barium swallow, to analyze upper gastrointestinal anatomy and function
- endoscopy, a test that uses a small, flexible tube with a light and a camera lens at the end (endoscope) to examine the inside of part of the digestive tract. Tissue samples from inside the digestive tract may also be taken for examination. In some cases, fluid is collected during an endoscopy to help aid with diagnosis and treatment of small bowel bacterial overgrowth.
- colonoscopy, a test that uses a long, flexible tube with a light and camera lens at the end (colonoscope) to examine inside the large intestine. As with the endoscopy, tissue samples from inside the digestive tract may also be taken for examination and testing.
Your child's clinician may also offer the following specialized tests of nutritional status:
- breath hydrogen analysis, to quantify the degree of malabsorption of carbohydrate or sugars as well as to determine whether excess quantities of bacteria are growing inside the bowel
- indirect calorimetry, a test to analyze the nutritional needs of your child in the form of calories, carbohydrates, protein and fat
- body composition tests, to evaluate fat and lean muscle
- DEXA scans, to evaluate bone density
- motility testing, to evaluate gastrointestinal function
- FibroScan, to assess the liver
w如何e care for short bowel syndrome
TheCenter for Advanced Intestinal Rehabilitation (CAIR)at Boston Children's Hospital is one of the world's premier programs for the treatment of SBS. Each year, our program cares for more than 200 children from all regions of the country and abroad. In 2002, our doctors performed the world's firstserial transverse enteroplasty procedure (STEP), a surgical technique that lengthens and tapers the intestines of children with SBS. Since then, we have performed dozens of these procedures with success. Our interdisciplinary center is also renowned for innovations in the nutritional and medical management of children with SBS. CAIR was the first center to use a novel intravenous preparation (Omegaven) for the treatment of liver disease associated with intestinal failure.