Short bowel syndrome (SBS) is a complex medical condition defined as having <200 cm of small bowel which occurs in approximately 15% of adult patients who undergo intestinal resection. Of these cases, up to 75% result from massive intestinal resection and 25% from multiple sequential resections (Massironi et al., 2020).

There is a gap in the current literature and evidence-based treatment guidelines regarding the management of these patients in the in-patient setting, specifically, those with newly diagnosed SBS or who are critically ill. SBS requires an individualized treatment plan which typically consists of nutrition support and wound/ostomy care from trained interdisciplinary medical teams.

Inpatient settings bring many factors into consideration when formulating a treatment plan for SBS that may not be factors in the outpatient setting. These may include infections, including sepsis/septic shock, new procedures, changes in the gut microbiome and new pressure injuries.

In this session, three unique SBS case examples from a GI-specialized, community hospital on Long Island, New York will be presented by nutrition support dietitians and a skin, wound/ostomy nurse. The challenges, barriers and corrective-action of these patient's SBS management for future practice will be evaluated in each case with the presenters' discussion and audience engagement.