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CME: Short Bowel Syndrome - updates from DDW 2018


Activity Description / Statement of Need:

In this online, self-learning activity:

Short bowel syndrome (SBS) is a condition in which a patient exhibits malabsorption-induced diarrhea, dehydration, electrolyte imbalances, and malnutrition due to decreased nutrient absorption that results from extensive surgical resection of the intestine or congenital defects. It is a form of intestinal failure (IF), which is defined as a need for supplementary parenteral or enteral nutrition when intestinal function is insufficient to meet the body’s nutritional requirements. The prevalence of SBS has been estimated to be 3–4 per million patients in the U.S. based on home parenteral nutrition (HPN) data, and in adults undergoing intestinal resection, SBS is estimated to occur in 15% of adult patients, with 75% of patients undergoing a single massive resection.

Target Audience:

The following healthcare professionals: gastroenterologists and primary care physicians; physician assistants, nurse practitioners, nurses, and pharmacists who practice in gastroenterology; and any other healthcare professionals with an interest in or who clinically encounter patients with short bowel syndrome.

This program is supported by an educational grant from Shire.

Release Date: October 07, 2018 -- Expiration Date: October 07, 2020

Faculty: Kalyan Ram Bhamidimarri, MD


- Overview of SBS

- Epidemiology of SBS

- Updates from DDW 2018

- Summary

Learning Objectives

By the end of the session the participant will be able to:

  • Describe current trends in the epidemiology of SBS
  • List causes of SBS in pediatrics and adults
  • Review the clinical manifestations and complications of SBS
  • Summarize updates in medical management in SBS and apply them to patient cases
  • Discuss surgical strategies in the management of SBS and apply them to patient cases


ACCME Activity #201226462


Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved through content review by ScientiaCME.

Faculty Disclosures:

Kalyan Ram Bhamidimarri, M.D., MPH, Associate Professor of Clinical Medicine University of Miami/Miami Transplant Institute, has received honorarium from Merck, Gilead, AbbVie, Alexion, Eisai, Intercept, and research grants from Gilead, BMS, Mallinckrodt, Vital Therapies, Ocera Inc, Conatus/ Allergan, and Genfit

Disclosures of Educational Planner: Charles Turck, PharmD, BCPS, BCCCP has no relevant conflicts of interest to disclose.

Disclosures of Peer Reviewer: Ali Rezaie, MD discloses that he has received consulting honorarium from Valeant and Alnylam and owns stock in Gemelli Biotech.

Disclosures of Peer Reviewer:  Shirley Paski, MD has no relevant conflicts of interest to disclose.

Commercial Support Disclosure: This program is supported by an educational grant from Shire.


  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version

Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.

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