Management of acute intestinal failure: A position paper from the European Society for Clinical Nutrition and Metabolism (ESPEN) Special Interest Group

Stanislaw Klek, Alastair Forbes, Simon Gabe, Mette Holst, Geert Wanten, Øivind Irtun, Steven Olde Damink, Marina Panisic-Sekeljic, Rosa Burgos Pelaez, Loris Pironi, Annika Reintam Blaser, Henrik Højgaard Rasmussen, Stéphane M. Schneider, Ronan Thibault, Ruben G.J. Visschers, Jonathan Shaffer

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82 Citations (Scopus)

Abstract

Intestinal failure (IF) is the consequence of a reduction of gut function below the minimum necessary for the absorption of nutrients from the gastrointestinal tract. Types I and II comprise acute intestinal failure (AIF). Although its prevalence is relatively low, type II AIF is serious and requires specialist multidisciplinary care, often for prolonged periods before its resolution. The key aspects are: sepsis control, fluid and electrolyte resuscitation, optimization of nutritional status, wound care, appropriate surgery and active rehabilitation. The ESPEN Acute Intestinal Failure Special Interest Group (AIF SIG) has devised this position paper to provide a state-of-the-art overview of the management of type II AIF and to point out areas for future research.
Original languageEnglish
Pages (from-to)1209–1218
Number of pages10
JournalClinical Nutrition
Volume35
Issue number6
Early online date19 Apr 2016
DOIs
Publication statusPublished - Dec 2016

Keywords

  • Intestinal failure
  • Acute intestinal failure (AIF)
  • SNAP
  • SOWATS

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