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Definitions of intestinal failure and the short bowel syndrome

Abstract The European Society for Clinical Nutrition and Metabolism defined intestinal failure (IF) as “the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health a... Full description

Journal Title: Baillière's best practice & research. Clinical gastroenterology 2016, Vol.30 (2), p.173-185
Main Author: Pironi, Loris, MD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Netherlands: Elsevier Ltd
ID: ISSN: 1521-6918
Link: https://www.ncbi.nlm.nih.gov/pubmed/27086884
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recordid: cdi_proquest_miscellaneous_1782215251
title: Definitions of intestinal failure and the short bowel syndrome
format: Article
creator:
  • Pironi, Loris, MD
subjects:
  • Abdomen
  • Chronic illnesses
  • Classification
  • Colon
  • Disease
  • Electrolytes
  • Food
  • Gastroenterology
  • Gastroenterology and Hepatology
  • Home parenteral nutrition
  • Humans
  • Hydration
  • Intestinal Absorption
  • Intestinal Absorption - physiology
  • Intestinal failure
  • Intestinal malabsorption
  • Intestine
  • Intestine, Small - physiopathology
  • Kidney stones
  • Lipids
  • Liver diseases
  • Malabsorption syndromes
  • Narcotics
  • Nutrition
  • Nutritional Physiological Phenomena
  • Ostomy
  • Parenteral Nutrition
  • Short bowel syndrome
  • Short Bowel Syndrome - physiopathology
  • Small
  • Sodium
  • Vitamin deficiency
ispartof: Baillière's best practice & research. Clinical gastroenterology, 2016, Vol.30 (2), p.173-185
description: Abstract The European Society for Clinical Nutrition and Metabolism defined intestinal failure (IF) as “the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth”. IF is classified as type 1-acute, type 2-prolonged acute and type 3-chronic IF. A short bowel syndrome (SBS) due to the intestinal malabsorption associated with a functional small intestine length of less than 200 cm is the most frequent mechanism of IF. SBS is a difficult and multifaced disease. Complications due to SBS itself and to treatments, such as long term home parenteral nutrition, can adversely affect the patient outcome. The care of SBS requires complex technologies and multidisciplinary and multiprofessional activity and expertise. Patient outcome is strongly dependent on care and support from an expert specialist team. This paper focuses on the aspects of the pathophysiology and on the complications of SBS, which are most relevant in the clinical practice, such as intestinal failure associated liver disease, renal failure, biliary and renal stones, dehydration and electrolyte depletion, magnesium deficiency and d -lactic acidosis.
language: eng
source:
identifier: ISSN: 1521-6918
fulltext: no_fulltext
issn:
  • 1521-6918
  • 1532-1916
url: Link


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descriptionAbstract The European Society for Clinical Nutrition and Metabolism defined intestinal failure (IF) as “the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth”. IF is classified as type 1-acute, type 2-prolonged acute and type 3-chronic IF. A short bowel syndrome (SBS) due to the intestinal malabsorption associated with a functional small intestine length of less than 200 cm is the most frequent mechanism of IF. SBS is a difficult and multifaced disease. Complications due to SBS itself and to treatments, such as long term home parenteral nutrition, can adversely affect the patient outcome. The care of SBS requires complex technologies and multidisciplinary and multiprofessional activity and expertise. Patient outcome is strongly dependent on care and support from an expert specialist team. This paper focuses on the aspects of the pathophysiology and on the complications of SBS, which are most relevant in the clinical practice, such as intestinal failure associated liver disease, renal failure, biliary and renal stones, dehydration and electrolyte depletion, magnesium deficiency and d -lactic acidosis.
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subjectAbdomen ; Chronic illnesses ; Classification ; Colon ; Disease ; Electrolytes ; Food ; Gastroenterology ; Gastroenterology and Hepatology ; Home parenteral nutrition ; Humans ; Hydration ; Intestinal Absorption ; Intestinal Absorption - physiology ; Intestinal failure ; Intestinal malabsorption ; Intestine ; Intestine, Small - physiopathology ; Kidney stones ; Lipids ; Liver diseases ; Malabsorption syndromes ; Narcotics ; Nutrition ; Nutritional Physiological Phenomena ; Ostomy ; Parenteral Nutrition ; Short bowel syndrome ; Short Bowel Syndrome - physiopathology ; Small ; Sodium ; Vitamin deficiency
ispartofBaillière's best practice & research. Clinical gastroenterology, 2016, Vol.30 (2), p.173-185
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6Food
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31Vitamin deficiency
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abstractAbstract The European Society for Clinical Nutrition and Metabolism defined intestinal failure (IF) as “the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth”. IF is classified as type 1-acute, type 2-prolonged acute and type 3-chronic IF. A short bowel syndrome (SBS) due to the intestinal malabsorption associated with a functional small intestine length of less than 200 cm is the most frequent mechanism of IF. SBS is a difficult and multifaced disease. Complications due to SBS itself and to treatments, such as long term home parenteral nutrition, can adversely affect the patient outcome. The care of SBS requires complex technologies and multidisciplinary and multiprofessional activity and expertise. Patient outcome is strongly dependent on care and support from an expert specialist team. This paper focuses on the aspects of the pathophysiology and on the complications of SBS, which are most relevant in the clinical practice, such as intestinal failure associated liver disease, renal failure, biliary and renal stones, dehydration and electrolyte depletion, magnesium deficiency and d -lactic acidosis.
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pubElsevier Ltd
pmid27086884
doi10.1016/j.bpg.2016.02.011