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

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• 作者：Stanislaw Klek^a ; ^{klek@poczta.onet.pl" class="auth_mail" title="E-mail the corresponding author} ; Alastair Forbes^b ; Simon Gabe^c ; Mette Holst^d ; Geert Wanten^e ; Ø ; ivind Irtun^f ; ^g ; Steven Olde Damink^h ; Marina Panisic-Sekeljicⁱ ; Rosa Burgos Pelaez^j ; Loris Pironi^k ; Annika Reintam Blaser^l ; ^d ; Henrik Hø ; jgaard Rasmussen^d ; Sté ; phane M. Schneider^m ; Ronan Thibaultⁿ ; Ruben G.J. Visschers^h ; Jonathan Shaffer^o
• 关键词：Intestinal failure ; Acute intestinal failure (AIF) ; SNAP ; SOWATS
• 刊名：Clinical Nutrition
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：35
• 期：6
• 页码：1209-1218
• 全文大小：896 K

文摘

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.