Short Bowel Syndrome: A Case Series and Review of Literature

Short Bowel Syndrome, defined as remaining small bowel in continuity of less than 200 cm, is a disorder with varied presentations and frequent and often difficult-to-manage complications. The most commonly encountered complications are mainly nutritional, gastrointestinal and nephrological. Anticoagulation and bone disorders due to micronutrient and drug malabsorption, among other causes, are also encountered. The clinical follow-ups and considerations necessary vary between patients. Functional, pathophysiological, etiological, clinical and anatomical classifications exist to help physicians predict the required interventions. Herein, we summarise our experience with three cases with differing presentations and prognoses. We discuss the problems encountered during their management in light of the existing literature and guidelines. Specialised units and a multi-departmental approach remain vital in managing intestinal failure and short bowel syndrome; better tools and further research are yet to be required.