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Intestinal failure in gastrointestinal fistula patients

Soliman, Faris and Hargest, Rachel 2018. Intestinal failure in gastrointestinal fistula patients. Surgery (Oxford) 36 (5) , pp. 245-251. 10.1016/j.mpsur.2018.03.001

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Abstract

Intestinal failure due to gastrointestinal fistulae can be an extremely debilitating condition that significantly impairs quality of life. It can lead to serious life-threatening problems and may be fatal if left untreated. Patients may have a variety of underlying bowel diseases, or may have iatrogenic complications. Medical and psychological co-morbidities and complications present a further challenge in the successful management of these cases. In the acute stage, management of sepsis, fluid balance and acute surgical emergencies takes priority. Longer term maintenance of fluid and nutrient homeostasis, rehabilitation, psychosocial support and possible restorative intestinal surgery should all be addressed. A multidisciplinary approach is required to manage these patients appropriately. Services are usually concentrated in dedicated regional intestinal failure units comprising surgeons, gastroenterologists, radiologists, biochemists, nutritional support teams, stoma nurses as well as specialist wards equipped to manage these patients appropriately.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 0263-9319
Date of Acceptance: 16 April 2018
Last Modified: 30 Jul 2018 09:31
URI: http://orca-mwe.cf.ac.uk/id/eprint/113646

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