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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Main Authors: A Du Toit, ABT Boutall, R Blaauw
Format: Article
Language:English
Published: Taylor & Francis Group 2018-04-01
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.
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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
work_keys_str_mv AT adutoit opinionsofsouthafricandietitiansonfistuloclysisasatreatmentoptionforintestinalfailurepatients
AT abtboutall opinionsofsouthafricandietitiansonfistuloclysisasatreatmentoptionforintestinalfailurepatients
AT rblaauw opinionsofsouthafricandietitiansonfistuloclysisasatreatmentoptionforintestinalfailurepatients