What Is Intestinal Rehabilitation for Short Bowel Syndrome?

Written by Katie Hall, RD, LDN, CNSC | Aug 12, 2026, 6:26:14 PM

A diagnosis of Short Bowel Syndrome (SBS) can bring uncertainty, but it can also be the start of a journey supported by the right care team, education, and resources. 

The links shared below will review SBS, its impact on daily life, and provide helpful resources to support patients and caregivers. We'll also highlight ways to connect with the SBS community, because no one should have to navigate this journey alone. Through patient organizations, support groups, and educational resources, individuals and families can find encouragement, practical guidance, and meaningful connections. We'll also discuss how AvevoRx Nutrition supports people living with SBS through specialized nutrition services, education, advocacy, and personalized care focused on improving quality of life and fostering greater independence.

Whether you're a patient managing SBS at home or a GI clinician coordinating complex care, understanding the role of intestinal rehabilitation can shape better decisions and outcomes.

What Is Short Bowel Syndrome?

SBS occurs because of loss of a significant length of the small bowel’s absorptive area due to disease or surgical resection. It was initially defined as having less than 200 cm (6.5 feet) of jejunum-ileum in continuity after bowel resection.¹ SBS has been further defined as intestinal failure (SBS-IF) versus intestinal insufficiency (SBS-II) based on the intestine’s ability to adequately meet the nutrient and fluid requirements of the individual with or without parenteral support (i.e. TPN), respectively.2

How Does the AvevoRx AIR Program Support SBS Patients?

The AvevoRx Intestinal Rehabilitation (AIR) program is a specialized program for patients with short bowel syndrome (SBS). It focuses on improving absorption, hydration, and nutrition status while helping reduce reliance on parenteral nutrition when clinically appropriate.

The AIR program includes:

  • A personalized 12-week nutrition plan
  • Fluid and electrolyte optimization
  • Medication management counseling
  • SBS-specific education and resources
  • Laboratory monitoring and customized supplements
  • Ongoing collaboration with the prescribing physician

Can AvevoRx Nutrition Help Reduce Time or Days on TPN?

Yes. When clinically appropriate, AvevoRx Nutrition supports strategies to shorten infusion times or reduce the number of days on PN. Even modest reductions can improve sleep, mobility, daily routines, and overall quality of life.

Who is a good candidate for AvevoRx Intestinal Rehabilitation (AIR)?

  • Short Bowel Syndrome Diagnosis
  • 16 years of age and older
  • Clinically stable at home
  • Able to tolerate an oral diet
  • Amenable to weekly contact and follow-up
  • Interested in PN weaning
  • Under the care of a medical team open to program recommendations

What should I look for in a home TPN provider during intestinal rehabilitation?

When selecting an HPN provider, look for specialized SBS expertise, a multidisciplinary care team, and a commitment to person-centered care. Effective intestinal rehabilitation requires more than managing prescriptions; it requires understanding each patient's clinical needs, daily challenges, and long-term goals.

Unlike providers that rely primarily on standardized protocols, AvevoRx Nutrition delivers individualized nutrition support, education, and care planning tailored to each patient. The AvevoRx Intestinal Rehabilitation (AIR) Program, designed specifically for patients with SBS on home TPN seeking to optimize intestinal function and, when appropriate, reduce reliance on parenteral nutrition.

Learn More About the AvevoRx Intestinal Rehabilitation Program

To learn more about the AvevoRx Intestinal Rehabilitation program, download our brochure.

 

Short Bowel Syndrome Resources Created by the Community for the Community

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  1. Pironi L. Definition, classification, and causes of short bowel syndrome. Nutr Clin Pract. 2023;38(supp 1):S9-S16.
  2. Verbiest A, Jeppesen PB, Joly F, Vanuytsel T. The Role of a Colon-in-Continuity in Short Bowel Syndrome. Nutrients. 2023;15(3):628.