Short bowel syndrome (SBS) is a malabsorption condition that is associated with a high frequency of complications and a high use of healthcare resources.

Successful treatment of patients with Short Bowel Syndrome (SBS) is dependent on residual intestinal adaptation, requiring a combination of pharmacological and nutritional therapy. Although the short bowel syndrome diet is quite similar for people with and without colonic segments, some key differences should be noted. This article focuses on dietary interventions that enhance adaptation, increase absorption and, as a result, reduce stool volume.

Dietary therapy is an important component of care for patients with short bowel syndrome. The cornerstone of dietary therapy is the adjustment of food intake to maximize nutrient and fluid utilization by reducing stool output. Fecal output in short bowel syndrome is driven by fluid load exceeding the absorptive capacity of the shortened intestine; but other factors also contribute.