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Assessment and management of patients with intestinal failure: a multidisciplinary approach

机译:肠道衰竭患者的评估和管理:多学科方法

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Intestinal failure (IF) is a condition characterized by the inability to maintain a state of adequate nutrition, or fluid and electrolyte balance due to an anatomical or a physiological disorder of the gastrointestinal system. IF can be an extremely debilitating condition, significantly affecting the quality of life of those affected. The surgical management of patients with acute and chronic IF requires a specialist team who has the expertise in terms of technical challenges and decision-making. A dedicated IF unit will have the expertise in patient selection for surgery, investigative workup and planning, operative risk assessment with relevant anesthetic expertise, and a multidisciplinary team with support such as nutritional expertise and interventional radiology. This article covers the details of IF management, including the classification of IF, etiology, prevention of IF, and initial management of IF, focusing on sepsis treatment and nutritional support. It also covers the surgical aspects of IF such as intestinal reconstruction, abdominal wall reconstruction, and intestinal transplantation.
机译:肠衰竭(IF)是以胃肠道系统的解剖学或生理学失调而不能维持足够营养或液体和电解质平衡为特征的疾病。 IF可能使人极度虚弱,严重影响着受影响人群的生活质量。对急,慢性中频患者的外科治疗需要一支专业团队,该团队在技术挑战和决策方面具有专业知识。一个专门的IF部门将具有以下方面的专业知识:外科手术的患者选择,研究性检查和计划,具有相关麻醉专业知识的手术风险评估以及营养学和介入放射学等支持的多学科团队。本文涵盖中频管理的详细信息,包括中频的分类,病因,中频的预防和中频的初始管理,重点是败血症的治疗和营养支持。它还涵盖了IF的外科方面,例如肠重建,腹壁重建和肠移植。

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