title: [Intestinal failure due to short bowel syndrome: impact of a multidisciplinary intestinal rehabilitation program].
abstract: BACKGROUND
  In patients suffering intestinal failure due to short bowel, the goal of an Intestinal Rehabilitation Program is to optimize and tailor all aspects of clinical management, and eventually, wean patients off lifelong parenteral nutrition.
  
  
  OBJECTIVE
  To report the results of our program in patients suffering intestinal failure.
  
  
  METHODS
  A registry of all patients referred to the Intestinal Failure unit between January 2009 and December 2015 was constructed. Initial work up included prior intestinal surgery, blood tests, endoscopic and imaging studies. Also demographic data, medical and surgical management as well as clinical follow-up, were registered.
  
  
  RESULTS
  Data from 14 consecutive patients aged 26 to 84 years (13 women) was reviewed. Mean length of remnant small bowel was 100 cm and they were on parenteral nutrition for a median of eight months. Seven of 14 patients had short bowel secondary to mesenteric vascular events (embolism/thrombosis). Medical management and autologous reconstruction of the bowel included jejuno-colic anastomosis in six, enterorraphies in three, entero-rectal anastomosis in two, lengthening procedures in two, ileo-colic anastomosis in one and reversal Roux-Y gastric bypass in one. Thirteen of 14 patients were weaned off parenteral nutrition.
  
  
  CONCLUSIONS
  Our Multidisciplinary Intestinal Rehabilitation Program, allowed weaning most of the studied patients off parenteral nutrition.
authors.affiliation: Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: María Elena
authors.initials: ME
authors.lastname: Molina
authors.affiliation: Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Felipe
authors.initials: F
authors.lastname: Bellolio
authors.affiliation: Unidad de Nutrición, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Julieta
authors.initials: J
authors.lastname: Klaassen
authors.affiliation: Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Javier
authors.initials: J
authors.lastname: Gómez
authors.affiliation: Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Constanza
authors.initials: C
authors.lastname: Villalón
authors.affiliation: Unidad de Cirugía Hepato-biliopancreática y Trasplante, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Juan Francisco
authors.initials: JF
authors.lastname: Guerra
authors.affiliation: Unidad de Coloproctología, Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Zúñiga
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D013505:Digestive System Surgical Procedures / Q000379:methods; D019468:Disease Management; D005260:Female; D006801:Humans; D007422:Intestines / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015596:Nutrition Assessment; D010288:Parenteral Nutrition / Q000379:methods; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012778:Short Bowel Syndrome / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D016896:Treatment Outcome