126 KB22 KB199420252006Ocepek, AndrejaSkok, Pavelštevilka:4letnik:45str. 383-390ISSN:0025-8121COBISSID:2614079URN:URN:NBN:SI:doc-FIQ2TYXBslMedicinski razglediMedicinski razgledicomplicationsCrohn DiseaseCrohnova bolezenčrevesne bolezniPatofiziologijaphysiopathologyShort Bowel SyndromeSindrom kratkega črevesatherapyZapletiZdravljenjeSindrom kratkega črevesa kot zaplet Crohnove bolezni| Short bowel syndrom as a complication of Crohn's disease|During the course of Crohn's disease, some patients require surgical bowel resection due to intestinal stenosis. Attention is drawn to a possible complication of such surgical procedures: in a patients with Crohn's disease, short bowel syndrome developed following several small and large intestine resections that were necessary in the treatment of recidiving acute bowel obstructions. When the remnant small bowel is shorter than 200 cm, characteristic symptoms of short bowel syndrome develop including profuse diarrhea, signs of malnutrition and vitamin deficiencies. The causes and pathophysiological mechanisms of short bowel syndrome are explained and a therapeutic approach to this group of patients is describedPri delu bolnikov s Crohnovo boleznijo se zaradi zožitev prebavne cevi, ki se razvijejo ob napredovanju bolezni, potrebni operacijski resekcijski posegi. S predstavitvijo bolnice s Crohnovo boleznijo, pri kateri se je po več operacijah zaradi ponavljajočih se nenadnih zapor tankega črevesa razvil sindrom kratkega črevesa, želimo opozoriti na možen zaplet takšnega zdravljenja. Za sindrom kratkega črevesa so značilni huda driska, znaki malabsorpcije, hipovolemije in izsušitve, elektrolitsko in presnovno neravnovesje, podhranjenost ter pomanjkanje nekaterih vitaminov. Simptomi in znaki se pojavijo, kadar je preostali del tankega črevesa krajši od 200 cm. V prispevku opisujemo vzroke za nastanek in patofiziološke mehanizme sindroma kratkega črevesa ter sodoben pristop k zdravljenju teh bolnikovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi