Diagnosis

To diagnose short bowel syndrome, your doctor may recommend blood or stool tests to measure nutrient levels. Other tests may include imaging procedures, such as an X-ray with a contrast material (barium X-ray), computerized tomography (CT) scan, magnetic resonance imaging (MRI), and CT or MR enterography, that can show obstructions or changes to the intestines.

Treatment

Your treatment options for short bowel syndrome will depend on what parts of your small intestine are affected, whether your colon is intact and your own preferences.

Short bowel syndrome treatment may include:

  • Nutritional therapy. People with small bowel syndrome will need to follow a special diet and take nutritional supplements. Some people may need to get nutrition through a vein (parenteral nutrition) or a feeding tube (enteral nutrition) to prevent malnutrition.
  • Medications. In addition to nutritional support, your doctor may recommend drugs to help manage short bowel syndrome, such as medications to help control stomach acid, reduce diarrhea or improve intestinal absorption after surgery.
  • Surgery. Doctors may recommend surgery for children and adults with short bowel syndrome. Types of surgery include procedures to slow the passage of nutrients through the intestine or a procedure to lengthen the intestine (autologous gastrointestinal reconstruction), as well as small bowel transplantation (SBT).

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

Short bowel syndrome care at Mayo Clinic

Jan. 06, 2022
  1. Ferri FF. Short bowel syndrome. In: Ferri's Clinical Advisor 2020. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 18, 2019.
  2. Kliegman RM, et al. Chronic diarrhea. In: Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Nov. 18, 2019.
  3. Short bowel syndrome. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/short-bowel-syndrome. Accessed Nov. 18, 2019.
  4. Short bowel syndrome. International Foundation for Gastrointestinal Disorders. https://www.iffgd.org/other-disorders/short-bowel-syndrome.html. Accessed Nov. 18, 2019.
  5. Brown AY. Allscripts EPSi. Mayo Clinic. Nov. 14, 2019.

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