The introduction of parenteral nutrition support has given patients with short bowel syndrome the time they need to achieve maximal intestinal rehabilitation and has allowed these patients to survive. The pioneering work of Drs. Byrnes and Wilmore in the 1990s focused on novel techniques to enhance intestinal adaptation and absorption, including modification of diet, special nutrients, oral rehydration solutions, growth factors, and surgical techniques. Intestinal Failure and Rehabilitation: A Clinical Guide brings together an expert group of clinicians to help us understand current information regarding the prevention, diagnosis, care, and management of patients with intestinal failure.
Author(s): Laura E. Matarese, Ezra Steiger, Douglas L. Seidner
Edition: 1
Year: 2004
Language: English
Pages: 424
Book Cover......Page 1
Half-Title......Page 2
Title......Page 4
Copyright......Page 5
Series Preface......Page 6
Preface......Page 8
Editor......Page 10
Contributor List......Page 12
Table of Contents......Page 17
The Evolution of Care of Patients with Intestinal Failure......Page 20
1. Anatomy and Physiology of the Gastrointestinal Tract......Page 24
2. The Etiology and Mechanism of Intestinal Failure......Page 44
3. Diarrhea in Short Bowel Syndrome......Page 57
4. Abnormalities in Fluid and Electrolyte Absorption in Intestinal Failure......Page 67
5. Metabolic and Nutritional Consequences of Intestinal Failure......Page 84
6. Nutrition Assessment......Page 99
7. Malnutrition: Vitamin and Trace Mineral Deficiencies......Page 119
8. Physiologic and Laboratory Testing for Malabsorption and Short Bowel Syndrome......Page 131
9. The Role of Diet and Specific Nutrients......Page 144
10. Medications: Antidiarrheals, H2 Blockers, Proton Pump Inhibitors, and Antisecretory Therapy......Page 162
11. Pancreatic Enzyme Replacement and Bile Acid Therapy......Page 174
12. Antimicrobials and Probiotics......Page 190
13. Use of Trophic Substances in the Treatment of Intestinal Failure......Page 200
14. Enteral Nutrition in Intestinal Failure......Page 221
15. Parenteral Nutrition......Page 241
16. PN-Associated Hepatobiliary and Renal Disease......Page 261
17. Prevention of Short Bowel Syndrome in Crohn's Disease......Page 276
18. Surgery for Intestinal Failure......Page 289
19. Intestinal Failure and Visceral Transplantation: A New Era of Colossal Achievement......Page 305
20. Medication Delivery in Intestinal Failure......Page 332
21. Survival and Quality of Life on Home Parenteral and Enteral Nutrition......Page 344
22. Specialized Nutrition: The Patient Perspective......Page 364
23. Establishment of an Intestinal Rehabilitation Program......Page 377
Index......Page 395
