Diet and fluid recommendations in short bowel syndrome

	Colon present	Colon absent
Carbohydrate	50 to 60% of caloric intake	40 to 50% of caloric intake
Carbohydrate	Complex carbohydrates	Complex carbohydrates
Fat	20 to 30% of caloric intake	30 to 40% of caloric intake
	Ensure adequate essential fats	Ensure adequate essential fats
	MCT/LCT	LCT
Protein	20 to 30% of caloric intake	20 to 30% of caloric intake
Fiber	Net secretors	Net secretors
Fiber	Soluble	Soluble
Oxalate	Restrict	No restriction needed
Fluids	ORS and/or hypotonic	ORS
Fluids	Avoid hyperosmolar	Avoid hyperosmolar

MCT: medium-chain triglycerides; LCT: long-chain triglycerides; ORS: oral rehydration solution.

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