Intestinal failure: a review [version 1; referees: 2 approved]

Intestinal failure (IF) is the inability of the gut to absorb necessary water, macronutrients (carbohydrate, protein, and fat), micronutrients, and electrolytes sufficient to sustain life and requiring intravenous supplementation or replacement. Acute IF (types 1 and 2) is the initial phase of the i...

Full description

Bibliographic Details
Main Authors: Philip Allan, Simon Lal
Format: Article
Language:English
Published: F1000 Research Ltd 2018-01-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/7-85/v1
_version_ 1818879766705471488
author Philip Allan
Simon Lal
author_facet Philip Allan
Simon Lal
author_sort Philip Allan
collection DOAJ
description Intestinal failure (IF) is the inability of the gut to absorb necessary water, macronutrients (carbohydrate, protein, and fat), micronutrients, and electrolytes sufficient to sustain life and requiring intravenous supplementation or replacement. Acute IF (types 1 and 2) is the initial phase of the illness and may last for weeks to a few months, and chronic IF (type 3) from months to years. The challenge of caring for patients with IF is not merely the management of the underlying condition leading to IF or the correct provision of appropriate nutrition or both but also the prevention of complications, whether thromboembolic phenomenon (for example, venous occlusion), central venous catheter-related bloodstream infection, IF-associated liver disease, or metabolic bone disease. This review looks at recent questions regarding chronic IF (type 3), its diagnosis and management, the role of the multidisciplinary team, and novel therapies, including hormonal treatment for short bowel syndrome but also surgical options for intestinal lengthening and intestinal transplant.
first_indexed 2024-12-19T14:35:18Z
format Article
id doaj.art-7e8f88956abc490b9d670381d4939a60
institution Directory Open Access Journal
issn 2046-1402
language English
last_indexed 2024-12-19T14:35:18Z
publishDate 2018-01-01
publisher F1000 Research Ltd
record_format Article
series F1000Research
spelling doaj.art-7e8f88956abc490b9d670381d4939a602022-12-21T20:17:17ZengF1000 Research LtdF1000Research2046-14022018-01-01710.12688/f1000research.12493.113527Intestinal failure: a review [version 1; referees: 2 approved]Philip Allan0Simon Lal1Translational Gastroenterology Department, University Hospitals Oxford NHS Foundation Trust, Oxford, UKIntestinal Failure Unit, Salford Royal Foundation Trust, Salford, UKIntestinal failure (IF) is the inability of the gut to absorb necessary water, macronutrients (carbohydrate, protein, and fat), micronutrients, and electrolytes sufficient to sustain life and requiring intravenous supplementation or replacement. Acute IF (types 1 and 2) is the initial phase of the illness and may last for weeks to a few months, and chronic IF (type 3) from months to years. The challenge of caring for patients with IF is not merely the management of the underlying condition leading to IF or the correct provision of appropriate nutrition or both but also the prevention of complications, whether thromboembolic phenomenon (for example, venous occlusion), central venous catheter-related bloodstream infection, IF-associated liver disease, or metabolic bone disease. This review looks at recent questions regarding chronic IF (type 3), its diagnosis and management, the role of the multidisciplinary team, and novel therapies, including hormonal treatment for short bowel syndrome but also surgical options for intestinal lengthening and intestinal transplant.https://f1000research.com/articles/7-85/v1Small Intestine
spellingShingle Philip Allan
Simon Lal
Intestinal failure: a review [version 1; referees: 2 approved]
F1000Research
Small Intestine
title Intestinal failure: a review [version 1; referees: 2 approved]
title_full Intestinal failure: a review [version 1; referees: 2 approved]
title_fullStr Intestinal failure: a review [version 1; referees: 2 approved]
title_full_unstemmed Intestinal failure: a review [version 1; referees: 2 approved]
title_short Intestinal failure: a review [version 1; referees: 2 approved]
title_sort intestinal failure a review version 1 referees 2 approved
topic Small Intestine
url https://f1000research.com/articles/7-85/v1
work_keys_str_mv AT philipallan intestinalfailureareviewversion1referees2approved
AT simonlal intestinalfailureareviewversion1referees2approved