Intestinal rehabilitation: A management program for short-bowel syndrome

Cindy R. Brown, John K. DiBaise

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Over the last 3 decades, there has been significant improvement in the survival and quality of life of patients who require home parenteral nutrition; however, parenteral nutrition remains costly, is associated with multiple complications, and does not promote the function of the remaining bowel. Intestinal rehabilitation refers to the process of restoring enteral autonomy and decreasing dependence on parenteral nutrition by utilizing dietary, pharmacological, and, occasionally, surgical interventions. A major focus of research has been to identify a trophic factor that will enhance adaptation of the remaining gastrointestinal tract following massive gut resection and allow enteral autonomy. Whether intestinal rehabilitation occurs as the result of increased intestinal adaptation or as the result of a comprehensive approach to care has yet to be determined. This article reviews intestinal failure as the result of short-bowel syndrome and the management strategy of an intestinal rehabilitation program in the care of these patients.

Original languageEnglish (US)
Pages (from-to)290-298
Number of pages9
JournalProgress in Transplantation
Volume14
Issue number4
StatePublished - Dec 2004
Externally publishedYes

Fingerprint

Short Bowel Syndrome
Rehabilitation
Parenteral Nutrition
Small Intestine
Home Parenteral Nutrition
Gastrointestinal Tract
Patient Care
Quality of Life
Pharmacology
Survival
Research

ASJC Scopus subject areas

  • Transplantation

Cite this

Intestinal rehabilitation : A management program for short-bowel syndrome. / Brown, Cindy R.; DiBaise, John K.

In: Progress in Transplantation, Vol. 14, No. 4, 12.2004, p. 290-298.

Research output: Contribution to journalArticle

Brown, Cindy R. ; DiBaise, John K. / Intestinal rehabilitation : A management program for short-bowel syndrome. In: Progress in Transplantation. 2004 ; Vol. 14, No. 4. pp. 290-298.
@article{309b6ff9ccee467095dcc667984993f7,
title = "Intestinal rehabilitation: A management program for short-bowel syndrome",
abstract = "Over the last 3 decades, there has been significant improvement in the survival and quality of life of patients who require home parenteral nutrition; however, parenteral nutrition remains costly, is associated with multiple complications, and does not promote the function of the remaining bowel. Intestinal rehabilitation refers to the process of restoring enteral autonomy and decreasing dependence on parenteral nutrition by utilizing dietary, pharmacological, and, occasionally, surgical interventions. A major focus of research has been to identify a trophic factor that will enhance adaptation of the remaining gastrointestinal tract following massive gut resection and allow enteral autonomy. Whether intestinal rehabilitation occurs as the result of increased intestinal adaptation or as the result of a comprehensive approach to care has yet to be determined. This article reviews intestinal failure as the result of short-bowel syndrome and the management strategy of an intestinal rehabilitation program in the care of these patients.",
author = "Brown, {Cindy R.} and DiBaise, {John K.}",
year = "2004",
month = "12",
language = "English (US)",
volume = "14",
pages = "290--298",
journal = "Progress in transplantation (Aliso Viejo, Calif.)",
issn = "1526-9248",
publisher = "InnoVision Communications",
number = "4",

}

TY - JOUR

T1 - Intestinal rehabilitation

T2 - A management program for short-bowel syndrome

AU - Brown, Cindy R.

AU - DiBaise, John K.

PY - 2004/12

Y1 - 2004/12

N2 - Over the last 3 decades, there has been significant improvement in the survival and quality of life of patients who require home parenteral nutrition; however, parenteral nutrition remains costly, is associated with multiple complications, and does not promote the function of the remaining bowel. Intestinal rehabilitation refers to the process of restoring enteral autonomy and decreasing dependence on parenteral nutrition by utilizing dietary, pharmacological, and, occasionally, surgical interventions. A major focus of research has been to identify a trophic factor that will enhance adaptation of the remaining gastrointestinal tract following massive gut resection and allow enteral autonomy. Whether intestinal rehabilitation occurs as the result of increased intestinal adaptation or as the result of a comprehensive approach to care has yet to be determined. This article reviews intestinal failure as the result of short-bowel syndrome and the management strategy of an intestinal rehabilitation program in the care of these patients.

AB - Over the last 3 decades, there has been significant improvement in the survival and quality of life of patients who require home parenteral nutrition; however, parenteral nutrition remains costly, is associated with multiple complications, and does not promote the function of the remaining bowel. Intestinal rehabilitation refers to the process of restoring enteral autonomy and decreasing dependence on parenteral nutrition by utilizing dietary, pharmacological, and, occasionally, surgical interventions. A major focus of research has been to identify a trophic factor that will enhance adaptation of the remaining gastrointestinal tract following massive gut resection and allow enteral autonomy. Whether intestinal rehabilitation occurs as the result of increased intestinal adaptation or as the result of a comprehensive approach to care has yet to be determined. This article reviews intestinal failure as the result of short-bowel syndrome and the management strategy of an intestinal rehabilitation program in the care of these patients.

UR - http://www.scopus.com/inward/record.url?scp=13844309618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=13844309618&partnerID=8YFLogxK

M3 - Article

C2 - 15663014

AN - SCOPUS:13844309618

VL - 14

SP - 290

EP - 298

JO - Progress in transplantation (Aliso Viejo, Calif.)

JF - Progress in transplantation (Aliso Viejo, Calif.)

SN - 1526-9248

IS - 4

ER -