Title |
Assessment and management of patients with intestinal failure: a multidisciplinary approach
|
---|---|
Published in |
Clinical and Experimental Gastroenterology, June 2018
|
DOI | 10.2147/ceg.s122868 |
Pubmed ID | |
Authors |
Jennie T Grainger, Yasuko Maeda, Suzanne C Donnelly, Carolynne J Vaizey |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 12 | 46% |
Spain | 3 | 12% |
Italy | 2 | 8% |
United States | 2 | 8% |
Austria | 1 | 4% |
Unknown | 6 | 23% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 12 | 46% |
Members of the public | 11 | 42% |
Scientists | 2 | 8% |
Science communicators (journalists, bloggers, editors) | 1 | 4% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 68 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 9 | 13% |
Student > Bachelor | 9 | 13% |
Researcher | 7 | 10% |
Other | 7 | 10% |
Student > Postgraduate | 5 | 7% |
Other | 13 | 19% |
Unknown | 18 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 30 | 44% |
Nursing and Health Professions | 9 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 4% |
Engineering | 2 | 3% |
Agricultural and Biological Sciences | 1 | 1% |
Other | 3 | 4% |
Unknown | 20 | 29% |