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Alcohol-induced liver disease
Alpha 1-antitrypsin deficiency
Benign liver tumors
Cholestatic liver disease
Non-alcoholic fatty liver disease
Primary biliary cirrhosis
Primary sclerosing cholangitis
Pancreatic neuroendocrine neoplasms
Familial adenomatous polyposis
Juvenile polyposis syndrome
Small bowel ischemia and infarction
Protein losing enteropathy
Short bowel syndrome (NORD)
Small bowel bacterial overgrowth syndrome
Diverticulosis and diverticulitis
Irritable bowel syndrome
Cleft lip and palate
Congenital diaphragmatic hernia
Diffuse esophageal spasm
Eosinophilic esophagitis (NORD)
Gastroesophageal reflux disease (GERD)
Cyclic vomiting syndrome
Gastric dumping syndrome
Dental caries disease
Gingivitis and periodontitis
Temporomandibular joint dysfunction
Appendicitis: Pathology review
Cirrhosis: Pathology review
Colorectal polyps and cancer: Pathology review
Congenital gastrointestinal disorders: Pathology review
Diverticular disease: Pathology review
Esophageal disorders: Pathology review
Gallbladder disorders: Pathology review
Gastrointestinal bleeding: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Jaundice: Pathology review
Malabsorption syndromes: Pathology review
Neuroendocrine tumors of the gastrointestinal system: Pathology review
Pancreatitis: Pathology review
Viral hepatitis: Pathology review
Short Bowel Syndrome: Elizabeth's Story
In short bowel syndrome, bowel is another word for the intestines.
It’s a condition that occurs when either the small intestine and/or the large intestine become physically shorter when a portion is removed by surgery, or functionally shorter, when a portion is damaged in a way that makes it nonfunctional.
This can lead to poor absorption of water and vital nutrients from food.
Normally, digestion begins when food is chewed and travels into the stomach where it’s dissolved by stomach acid, enzymes, and physical churning.
Then, it’s sent to the first portion of the small intestine, which is called the duodenum.
This is where more enzymes are added from the pancreas to digest macronutrients, including proteins, carbohydrates, and fats, while bile is added from the liver and gallbladder to help absorb fats.
It’s also where the absorption of some minerals like calcium, iron, and magnesium begins.
The next section is called the jejunum, and it has long projections on its surface, giving it a large surface area for absorption.
It plays the biggest role in the digestion and absorption of most nutrients, including the breakdown-products of macronutrients, zinc, water-soluble vitamins, and fat soluble vitamins, namely A, D, E, and K.
The third section is called the ileum, and it has tight intercellular junctions, allowing it to efficiently absorb fluid and begin concentrating the intestinal contents.
Unlike the jejunum, the ileum is also capable of undergoing structural and functional adaptations to compensate for the jejunum if needed.
The final portion is called the terminal ileum, and it absorbs vitamin B12 and bile salts which are recycled.
It ends with the ileocecal valve, which prevents intestinal contents from going into the large intestine too quickly and the backward flow of material.
Short bowel syndrome (SBS) is a condition that occurs when a significant portion of the intestines is not functional or removed, either as a result of a surgical procedure or due to a congenital disorder. This leads to malabsorption of water and nutrients, and can cause a wide variety of symptoms depending on the section of bowel involved.
Symptoms of short bowel syndrome can include diarrhea, abdominal cramping and bloating, malnutrition, dehydration, and weight loss. The severity of symptoms can vary depending on the extent of the intestinal damage and the individual's ability to adapt and absorb nutrients from food. Diagnosis depends on the medical history, lab tests, and abdominal imaging, while treatment may include dietary adjustments, diarrhea medications, and total parenteral nutrition (TPN).
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