European Society of Coloproctology consensus on the surgical management of intestinal failure in adults

Autor: Stanislaw Klek, Palle Jeppesen, Andreas Pascher, Ioannis Papaconstantinou, Jorge Calvo, Carolynne J. Vaizey, Gordon Carlson, Yasuko Maeda, Eva Barbosa, Yves Panis, William D. Wallace, Federico Bozzetti, Marja A. Boermeester, Marina Panisic-Sekeljic, Øivind Irtun
Přispěvatelé: Amsterdam institute for Infection and Immunity, Amsterdam Gastroenterology Endocrinology Metabolism, Surgery
Rok vydání: 2016
Předmět:
Enterocutaneous fistula
Parenteral Nutrition
medicine.medical_specialty
Consensus
Referral
medicine.medical_treatment
Water-Electrolyte Imbalance
MEDLINE
TRANSPLANTATION EXPANDING INDICATIONS
ENTEROCUTANEOUS FISTULA
IMPROVING OUTCOMES
CONTROLLED-TRIAL
03 medical and health sciences
0302 clinical medicine
Malabsorption Syndromes
medicine
Humans
SHORT-BOWEL SYNDROME
ESCP Intestinal Failure Group
Intensive care medicine
Science & Technology
OPEN ABDOMEN
Rehabilitation
Gastroenterology & Hepatology
medicine.diagnostic_test
business.industry
Malnutrition
Gastroenterology
ABDOMINAL-WALL DEFECTS
1103 Clinical Sciences
Interventional radiology
Evidence-based medicine
CROHNS-DISEASE
Transplantation
Systematic review
030220 oncology & carcinogenesis
Surgery
HOME PARENTERAL-NUTRITION
030211 gastroenterology & hepatology
business
Life Sciences & Biomedicine
COMPONENTS SEPARATION TECHNIQUE
Zdroj: Colorectal disease, 18(6), 535-548. Wiley-Blackwell
ISSN: 1462-8910
Popis: Intestinal failure (IF) is a debilitating condition of inadequate nutrition due to an anatomical and/or physiological deficit of the intestine. Surgical management of patients with acute and chronic IF requires expertise to deal with technical challenges and make correct decisions. Dedicated IF units have expertise in patient selection, operative risk assessment and multidisciplinary support such as nutritional input and interventional radiology, which dramatically improve the morbidity and mortality of this complex condition and can beneficially affect the continuing dependence on parenteral nutritional support. Currently there is little guidance to bridge the gap between general surgeons and specialist IF surgeons. Fifteen European experts took part in a consensus process to develop guidance to support surgeons in the management of patients with IF. Based on a systematic literature review, statements were prepared for a modified Delphi process. The evidence for each statement was graded using Oxford Centre for Evidence-Based Medicine Levels of Evidence. The current paper contains the statements reflecting the position and practice of leading European experts in IF encompassing the general definition of IF surgery and organization of an IF unit, strategies to prevent IF, management of acute IF, management of wound, fistula and stoma, rehabilitation, intestinal and abdominal reconstruction, criteria for referral to a specialist unit and intestinal transplantation.
Databáze: OpenAIRE
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