Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients
Introduction: Intestinal failure is the consequence of diverse aetiologies and pathophysiological causes. Fistuloclysis is an effective means of nutritional support to selected intestinal failure patients. This study aimed to investigate the management of adult intestinal failure patients in hospita...
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Format: | Article |
Language: | English |
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Taylor & Francis Group
2018-04-01
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Series: | The South African Journal of Clinical Nutrition |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/16070658.2017.1345430 |
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author | A Du Toit ABT Boutall R Blaauw |
author_facet | A Du Toit ABT Boutall R Blaauw |
author_sort | A Du Toit |
collection | DOAJ |
description | Introduction: Intestinal failure is the consequence of diverse aetiologies and pathophysiological causes. Fistuloclysis is an effective means of nutritional support to selected intestinal failure patients. This study aimed to investigate the management of adult intestinal failure patients in hospitals in South Africa, determining how practical and acceptable fistuloclysis is. Methods: The current management of type 2 and type 3 intestinal failure patients in South African hospitals was investigated by means of occupation-specific questionnaires, evaluating perceptions and opinions among dietitians. Results: Twenty-seven dietitians indicated willingness to participate in the survey, the majority (67%) having been involved with patient management in this field for one to five years. All indicated correctly that high fistula outputs would be defined as intestinal failure. Only 47% gave the correct definition of fistuloclysis, while 28% were currently utilising it as a means of nutrition support. All respondents agreed that unsuccessful implementation of fistuloclysis was due to training shortfalls and resistance from clinicians and nursing staff. Conclusion: There is a positive perception and awareness of fistuloclysis; however, numerous stumbling blocks hamper the wider use of this novel treatment. |
first_indexed | 2024-03-11T23:04:42Z |
format | Article |
id | doaj.art-cb16db4be1c34a7f8a8fcebdbbaa898f |
institution | Directory Open Access Journal |
issn | 1607-0658 2221-1268 |
language | English |
last_indexed | 2024-03-11T23:04:42Z |
publishDate | 2018-04-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | The South African Journal of Clinical Nutrition |
spelling | doaj.art-cb16db4be1c34a7f8a8fcebdbbaa898f2023-09-21T13:38:25ZengTaylor & Francis GroupThe South African Journal of Clinical Nutrition1607-06582221-12682018-04-01312293410.1080/16070658.2017.13454301345430Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patientsA Du Toit0ABT Boutall1R Blaauw2Stellenbosch UniversityGroote Schuur HospitalStellenbosch UniversityIntroduction: Intestinal failure is the consequence of diverse aetiologies and pathophysiological causes. Fistuloclysis is an effective means of nutritional support to selected intestinal failure patients. This study aimed to investigate the management of adult intestinal failure patients in hospitals in South Africa, determining how practical and acceptable fistuloclysis is. Methods: The current management of type 2 and type 3 intestinal failure patients in South African hospitals was investigated by means of occupation-specific questionnaires, evaluating perceptions and opinions among dietitians. Results: Twenty-seven dietitians indicated willingness to participate in the survey, the majority (67%) having been involved with patient management in this field for one to five years. All indicated correctly that high fistula outputs would be defined as intestinal failure. Only 47% gave the correct definition of fistuloclysis, while 28% were currently utilising it as a means of nutrition support. All respondents agreed that unsuccessful implementation of fistuloclysis was due to training shortfalls and resistance from clinicians and nursing staff. Conclusion: There is a positive perception and awareness of fistuloclysis; however, numerous stumbling blocks hamper the wider use of this novel treatment.http://dx.doi.org/10.1080/16070658.2017.1345430fistuloclysisintestinal failureparenteral nutrition |
spellingShingle | A Du Toit ABT Boutall R Blaauw Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients The South African Journal of Clinical Nutrition fistuloclysis intestinal failure parenteral nutrition |
title | Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients |
title_full | Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients |
title_fullStr | Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients |
title_full_unstemmed | Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients |
title_short | Opinions of South African dietitians on fistuloclysis as a treatment option for intestinal failure patients |
title_sort | opinions of south african dietitians on fistuloclysis as a treatment option for intestinal failure patients |
topic | fistuloclysis intestinal failure parenteral nutrition |
url | http://dx.doi.org/10.1080/16070658.2017.1345430 |
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