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Nutritional Management of Intestinal Failure

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: closed (1 December 2019) | Viewed by 13175

Special Issue Editors


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Guest Editor
Department of Pediatrics, Erasmus MC, University of Rotterdam and Leiden University Medical Center, University of Leiden, The Netherlands
Interests: congenital diarrheal disorders; intestinal failure; intestinal transplantation; home parenteral nutrition; pediatric gastroenterology

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Guest Editor
Department of Pediatric Gastroenterology, Emma Children's Hospital, Amsterdam University Medical Center, University of Amsterdam, The Netherlands
Interests: evidence-based guideline development; functional gastrointestinal diseases; intestinal failure; home parenteral nutrition

Special Issue Information

Dear Colleagues,

The main cause of intestinal failure (IF) in both adults and children is short bowel syndrome (SBS), which occurs after an extensive small bowel resection. Intestinal adaptation is the natural compensatory process that occurs after bowel resection. By effecting structural and functional changes, this process improves nutrient and fluid absorption in the remnant small bowel. Although not possible in all patients, the ultimate goal is to wean patients off parenteral nutrition (PN) by stimulating the intestinal adaptation, while ensuring adequate nutritional status and preventing complications. Many factors affect the process of adaptation, such as age of the patient, remaining small bowel length, the presence of the ileocecal valve and colon, and the underlying disease. Stimulating the remaining bowel with enteral nutrition (EN) can enhance adaptation. The aim of this Special Issue is to provide the newest insights about the nutritional strategies that best promote intestinal adaptation.

This Special Issue of Nutrients, entitled “Nutritional Management of Intestinal Failure”, welcomes the submission of original research on observational and intervention studies, systematic reviews, meta-analyses, and studies on nutritional management of intestinal failure in children and adults. Topics of interest include but are not limited to the following:

  • Enteral and parenteral feeding strategies in intestinal failure;
  • Lipid management in parenteral nutrition;
  • Complications in parenteral feeding;
  • Management of vascular access for parenteral nutrition;
  • Enteral nutrition to promote adaptation;
  • Predicting enteral autonomy;
  • The role of the microbiomes in enteral autonomy;
  • Pharmacological management to improve enteral autonomy;
  • The role for a nutrition support team in intestinal failure.

Dr. Edmond Rings
Dr. Merit Tabbers
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Enteral autonomy
  • Enteral nutrition
  • Home parenteral nutrition
  • Intestinal failure
  • Parenteral nutrition
  • Vascular access

Published Papers (2 papers)

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Review

14 pages, 309 KiB  
Review
Nutritional Feeding Strategies in Pediatric Intestinal Failure
by Joanne Olieman and Wendy Kastelijn
Nutrients 2020, 12(1), 177; https://doi.org/10.3390/nu12010177 - 8 Jan 2020
Cited by 25 | Viewed by 6338
Abstract
Intestinal failure is defined as a critical reduction of the gut mass or function, below the minimum needed to absorb nutrients and fluids. The ultimate goal in intestinal failure is to promote bowel adaptation and reach enteral autonomy while a healthy growth and [...] Read more.
Intestinal failure is defined as a critical reduction of the gut mass or function, below the minimum needed to absorb nutrients and fluids. The ultimate goal in intestinal failure is to promote bowel adaptation and reach enteral autonomy while a healthy growth and development is maintained. The condition is heterogeneous and complex. Therefore, recommendations for the type and duration of parenteral, enteral, and oral nutrition are variable, with the child’s age as an additional key factor. The aim of this review is to provide an overview of nutritional feeding strategies in this heterogeneous population. Different perspectives on nutritional management, nutrition and adaptation, and microbiome and nutrition will be discussed. Full article
(This article belongs to the Special Issue Nutritional Management of Intestinal Failure)
14 pages, 556 KiB  
Review
The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients
by Lotte E. Vlug, Sjoerd C. J. Nagelkerke, Cora F. Jonkers-Schuitema, Edmond H. H. M. Rings and Merit M. Tabbers
Nutrients 2020, 12(1), 172; https://doi.org/10.3390/nu12010172 - 8 Jan 2020
Cited by 27 | Viewed by 6378
Abstract
Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management [...] Read more.
Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients receiving PN: nutrition support teams (NSTs). In this review we aim to discuss the historical aspects of IF management and NST development, and the practice, composition, and effectiveness of multidisciplinary care by NSTs in patients with IF. We also discuss the experience of two IF centers as an example of contemporary NSTs at work. An NST usually consists of at least a physician, nurse, dietitian, and pharmacist. Multidisciplinary care by an NST leads to fewer complications including infection and electrolyte disturbances, and better survival for patients receiving short- and long-term PN. Furthermore, it leads to a decrease in inappropriate prescriptions of short-term PN leading to significant cost reduction. Complex care for patients receiving PN necessitates close collaboration between team members and NSTs from other centers to optimize safety and effectiveness of PN use. Full article
(This article belongs to the Special Issue Nutritional Management of Intestinal Failure)
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