Vitamin and mineral supplementation for short bowel syndrome

If more than 60 cm of terminal ileum has been resected, lifelong vitamin B₁₂ supplementation is required. Check the serum vitamin B₁₂ concentration annually.

Many patients with short bowel syndrome have some degree of fat malabsorption, which can result in malabsorption of vitamins A, D, E and K. Supplementation may be required (see Fat-soluble vitamin deficiencies).

Malabsorption of other vitamins and minerals (eg magnesium, selenium, zinc) may also occur. Regularly measure serum concentrations and give supplementation for deficiencies (see Mineral and trace element deficiencies).