Gastroenterology
Gastrointestinal failure
Acute intestinal failure (AIF) is a complex and life-threatening condition that requires specialized management strategies. Standardized definitions and classifications, such as those endorsed by ESPEN, are crucial for improving patient care and facilitating research. AIF is categorized into acute, chronic, and acute-on-chronic types, each with distinct clinical implications.
Effective management of AIF involves early diagnosis, tailored nutritional support, and a multidisciplinary approach to address complications like infections and electrolyte imbalances. Nutritional strategies, including parenteral nutrition (PN), are essential, with a focus on transitioning to oral or enteral nutrition when feasible. These guidelines emphasize the importance of individualized care plans to optimize outcomes and prevent complications in patients with AIF.
Acute intestinal failure
Acute intestinal failure
ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults
Loris Pironi et al., Clinical Nutrition (2015)
What’s inside
This article provides ESPEN-endorsed recommendations for the definition and classification of intestinal failure (IF) in adults, aiming to standardize terminology and improve patient care.
Why it’s relevant
Intestinal failure is a complex condition requiring specialized management, and standardized definitions are essential for research and clinical practice.
Key focus
- Definition of intestinal failure based on functional and clinical criteria
- Classification of IF into three types: acute, chronic, and acute-on-chronic
- Clinical implications of the classification for management strategies
- Importance of multidisciplinary care in IF management
Takeaway
The recommendations provide a clear framework for defining and classifying intestinal failure, facilitating better communication, research, and tailored patient care.
Acute intestinal failure
Management of acute intestinal failure: A position paper from the European Society for Clinical Nutrition and Metabolism (ESPEN) Special Interest Group
Stanislaw Klek et al., Clinical Nutrition (2016)
What’s inside
This position paper provides ESPEN-endorsed recommendations for the management of acute intestinal failure (AIF), focusing on evidence-based strategies for diagnosis and treatment.
Why it’s relevant
AIF is a life-threatening condition requiring prompt and specialized care to prevent complications and improve outcomes.
Key focus
- Diagnostic criteria and classification of AIF
- Nutritional support strategies, including parenteral nutrition (PN)
- Management of complications, such as infections and electrolyte imbalances
- Transition to oral or enteral nutrition when feasible
Takeaway
The paper emphasizes early diagnosis, tailored nutritional support, and multidisciplinary care to optimize outcomes in patients with acute intestinal failure.