The multidisciplinary approach to the care of patients with intestinal failure at a tertiary care facility.
Intestinal failure is a complex disease state for which extensive therapy is often required. Parenteral nutrition is one of these therapies, but with its long-term use, life-threatening complications may develop. Intestinal rehabilitation to enhance intestinal absorption and function through diet and medication is another therapy that can be used in hopes of weaning parenteral nutrition and preventing malnutrition. For patients who develop complications from parenteral nutrition and fail intestinal rehabilitation interventions, intestinal transplantation may be the best option. In this review, therapies available for intestinal failure and the use of a multidisciplinary approach to the patient with intestinal failure will be reviewed.
Rhoda
Kristen M
KM
Cleveland Clinic, Cleveland OH 44195, USA. rhodak@ccf.org
Parekh
Neha R
NR
Lennon
Elizabeth
E
Shay-Downer
Christine
C
Quintini
Christiano
C
Steiger
Ezra
E
Kirby
Donald F
DF
D000222:Adaptation, Physiological; D003131:Combined Modality Therapy; D006801:Humans; D007408:Intestinal Absorption; D007410:Intestinal Diseases / Q000628:therapy*; D007422:Intestines / Q000637:transplantation*; D010288:Parenteral Nutrition / Q000009:adverse effects; D012778:Short Bowel Syndrome / Q000628:therapy*