Download Current Concepts of Intestinal Failure by Risto J. Rintala, Mikko Pakarinen, Tomas Wester PDF

By Risto J. Rintala, Mikko Pakarinen, Tomas Wester

This e-book presents readers with a succinct yet entire evaluate of present options in terms of intestinal failure, together with its therapy, with a selected specialize in contemporary developments. the hole chapters tackle uncomplicated features of intestinal failure, together with etiology, medical pathophysiology, body structure of intestinal version, and intestinal microbiota. The problems of intestinal failure, comparable to bacterial overgrowth and intestinal failure-associated liver illness, are then mentioned. a sequence of chapters particularly tackle vital innovations within the dietary, pharmacological, and surgical procedure of intestinal failure in addition to the idea that of intestinal rehabilitation. eventually, major rising advancements are thought of: regenerative medication and distraction enterogenesis. The authors are the world over famous specialists from Europe and North the United States who're preferably put to explain present wisdom and growth within the field.

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A pilot study of the use of epidermal growth factor in pediatric short bowel syndrome. J Pediatr Surg. 2005;40:763–8. Jeppesen PB, Hartmann B, Thulesen J, Graff J, Lohmann J, Hansen BS, Tofteng F, Poulsen SS, Madsen JL, Holst JJ, Mortensen PB. Glucagon-like peptide 2 improves nutrient absorption and nutritional status in short-bowel patients with no colon. Gastroenterology. 2001;120:806–15. Yazbeck R. Teduglutide, a glucagon-like peptide-2 analog for the treatment of gastrointestinal diseases, including short bowel syndrome.

Chiba T, Ohi R. Do we still need to collect stool? Evaluation of visualized fatty acid absorption: experimental studies using rats. J Parenter Enteral Nutr. 1998;22:22–6. 10. Molina MT, Ruiz-Cutierrez V, Vazquez CM. Changes in uptake of linoleic acid and cholesterol by jejunal sacs of rats in vitro, after distal small bowel resection. Scand J Gastroenterol. 1990;25:613–21. 11. Tilson MD, Boyer JL, Wright HK. Jejunal absorption of bile salts after resection of the ileum. Surgery. 1975;77:231–4. 12.

Phase I, the acute phase, occurs during the immediate postoperative weeks and may last 1–3 months. This phase is marked by poor absorption 31 of almost all nutrients, including water, electrolytes, proteins, carbohydrates, fats, vitamins, and trace elements [87]. Fluid loss from the gastrointestinal tract tends to be greatest during the first few days after massive small intestinal resection; ostomy outputs may exceed 5 L/day. Aggressive fluid and electrolyte replacement therapy is necessary to reduce life-threatening dehydration, hypotension, and electrolyte imbalances.

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