Síndrome de Intestino Corto

short bowel syndrome is characterized by a significant reduction in the effective intestinal surface by an anatomical or functional loss of the small intestine. it mainly occurs after extensive bowel resection due to mesenteric ischemia. the main complications are diarrhoea, dehydration, weight loss, malnutrition, and electrolyte, vitamin and trace element deficiency. treatment is based on appropriate, individualized nutritional support. we report the case of a young man with a hypercoagulable state and short bowel syndrome who presented with a confusional state due to non-compliance to diet and treatment, expressed as a wernicke encephalopathy.