Short bowel syndrome (SBS) can lead to many complications related to the condition and its therapy. We describe 2 children with SBS who we believe are the second and third patients documented to have experienced both D-lactic acidosis and urolithiasis. We review aspects of these SBS complications and recent findings on the microbiome of patients with SBS that may predispose to these complications.
Keywords: D-lactate; D-lactic acidosis; dysbiosis; hyperoxaluria; hypocitraturia; lactobacillus; pediatrics; probiotics; short bowel syndrome; small bowel bacterial overgrowth; urolithiasis.
© 2018 American Society for Parenteral and Enteral Nutrition.