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Forerunners Healthcare provides Short bowel syndrome treatment in India. Today with the advancement in surgery treatments throughout the world has enabled the patients to visit different countries for treatment. The easy availability of excellent treatment facilities along with the best surgeons from India have made it possible for the international patients to get treatment in India. Short bowel syndrome treatment in India is done in cities like Mumbai, Hyderabad, Bangalore and Chennai where it has some of the finest hospitals in the world. The international patients are assisted by country's top surgeons who have plenty of experience.

What is Short Bowel Syndrome?

Short bowel syndrome (SBS, also short gut syndrome or simply short gut) is a malabsorption disorder caused by the surgical removal of the small intestine, or rarely due to the complete dysfunction of a large segment of bowel. Most cases are acquired, although some children are born with a congenital short bowel. It usually does not develop unless a person has lost more than two thirds of their small intestine.

Short Bowel Syndrome Symptoms

The symptoms of short bowel syndrome can include:

• Abdominal pain
• Diarrhea and steatorrhea (oily or sticky stool, which can be particularly foul-odored)
• Fluid retention
• Weight loss and malnutrition
• Fatigue

Patients with short bowel syndrome may have complications caused by malabsorption of vitamins and minerals, such as deficiencies in vitamins A, D, E, K, and B12, calcium, magnesium, iron, folic acid, and zinc. These may appear as anemia, hyperkeratosis (scaling of the skin), easy bruising, muscle spasms, poor blood clotting, and bone pain.

Short Bowel Syndrome Causes

Short bowel syndrome in adults is usually caused by surgery for:

• Crohn's disease, an inflammatory disorder of the digestive tract
• Volvulus, a spontaneous twisting of the small intestine that cuts off the blood supply and leads to tissue death
• Tumors of the small intestine
• Injury or trauma to the small intestine
• Necrotizing enterocolitis (premature newborn)
• Bypass surgery to treat obesity, a now commonly performed surgical procedure
• Surgery to remove diseases or damaged portion of the small intestine

Short Bowel Syndrome Pathophysiology

In healthy adults, the small intestine has an average length of approximately 6 meters (19.7 feet). Short bowel syndrome usually develops when there is less than 2 meters (6.6 feet) of the small intestine left to absorb sufficient nutrients.

Short bowel syndrome caused by the surgical removal of a portion of the bowel may be a temporary condition, due to the adaptive property of the small intestine.

In a process called intestinal adaptation, physiological changes to the remaining portion of the small intestine occur to increase its absorptive capacity. These changes include:

• Enlargement and lengthening of the villi found in the lining
• Increase in the diameter of the small intestine
• Slow down in peristalsis or movement of food through the small intestine

Short Bowel Syndrome Treatments

Symptoms of short bowel syndrome are usually addressed by prescription medicine. These include:

• Anti-diarrheal medicine (e.g. loperamide, codeine)
• Vitamin and mineral supplements
• H2 blocker and proton pump inhibitors to reduce stomach acid
• Lactase supplement (to improve the bloating and diarrhoea associated withlactose intolerance)
• Surgery, including intestinal lengthening, tapering, and small bowel transplant.
• Parenteral nutrition (PN or TPN for total parenteral nutrition - nutrition administered via intravenous line).
• Nutrition administered via gastrostomy tube

Growth hormone, glutamine, and an optimal diet reduces parenteral nutrition in patients with short bowel syndrome.

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Why India?

Short bowel syndrome treatment in India is beneficial for patients who come from countries like UK and USA where surgery costs are too high. The finest medical infrastructure and such hospitals uses latest methods in surgery and a well supported medical staff to look after the patients. The surgery is operated by Indian surgeons who have plenty of experience in their field.

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