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Assessment and management of patients with intestinal failure: a multidisciplinary approach

Title: Assessment and management of patients with intestinal failure: a multidisciplinary approach
Authors: Grainger, JT
Maeda, Y
Donnelly, SC
Vaizey, CJ
Item Type: Journal Article
Abstract: Intestinal failure (IF) is a condition characterized by the inability to maintain a state of adequate nutrition, or fluid and electrolyte balance due to an anatomical or a physiological disorder of the gastrointestinal system. IF can be an extremely debilitating condition, significantly affecting the quality of life of those affected. The surgical management of patients with acute and chronic IF requires a specialist team who has the expertise in terms of technical challenges and decision-making. A dedicated IF unit will have the expertise in patient selection for surgery, investigative workup and planning, operative risk assessment with relevant anesthetic expertise, and a multidisciplinary team with support such as nutritional expertise and interventional radiology. This article covers the details of IF management, including the classification of IF, etiology, prevention of IF, and initial management of IF, focusing on sepsis treatment and nutritional support. It also covers the surgical aspects of IF such as intestinal reconstruction, abdominal wall reconstruction, and intestinal transplantation.
Issue Date: 12-Jun-2018
Date of Acceptance: 22-Mar-2018
URI: http://hdl.handle.net/10044/1/64129
DOI: https://dx.doi.org/10.2147/CEG.S122868
ISSN: 1178-7023
Publisher: Dove Medical Press
Start Page: 233
End Page: 241
Journal / Book Title: Clinical and Experimental Gastroenterology
Volume: 11
Copyright Statement: © 2018 Grainger et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0 - https://creativecommons.org/licenses/by-nc/3.0/) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
Keywords: Science & Technology
Life Sciences & Biomedicine
Gastroenterology & Hepatology
intestinal failure
short bowel syndrome
nutrition
abdominal wall reconstruction
multidisciplinary approach
enterocutaneous fistula
ABDOMINAL-WALL DEFECTS
SINGLE-CENTER EXPERIENCE
GASTROINTESTINAL FISTULAS
ENTEROCUTANEOUS FISTULA
SURGICAL-MANAGEMENT
INSTITUTIONAL EXPERIENCE
PARENTERAL-NUTRITION
POSTOPERATIVE ILEUS
EUROPEAN-SOCIETY
SPECIALIZED UNIT
1103 Clinical Sciences
Publication Status: Published
Online Publication Date: 2018-06-12
Appears in Collections:Division of Surgery
Faculty of Medicine



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