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Chronic Intestinal failure and short bowel syndrome in adults : the state of the art

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorVara-Luiz, Francisco
dc.contributor.authorGlória, Luísa
dc.contributor.authorMendes, Ivo
dc.contributor.authorCarlos, Sandra
dc.contributor.authorGuerra, Paula
dc.contributor.authorNunes, Gonçalo
dc.contributor.authorOliveira, Cátia Sofia
dc.contributor.authorFerreira, Andreia
dc.contributor.authorSantos, Ana Paula
dc.contributor.authorFonseca, Jorge
dc.date.accessioned2026-03-23T11:24:19Z
dc.date.available2026-03-23T11:24:19Z
dc.date.issued2024-12
dc.description.abstractBackground: Short bowel syndrome (SBS) is a devastating malabsorptive condition and the most common cause of chronic intestinal failure (CIF). During the intestinal rehabilitation process, patients may need parenteral support for months or years, parenteral nutrition (PN), or hydration/electrolyte supplementation, as a bridge for the desired enteral autonomy. Summary: Several classification criteria have been highlighted to reflect different perspectives in CIF. The management of CIF-SBS in adults is a multidisciplinary process that aims to reduce gastrointestinal secretions, slow transit, correct/prevent malnutrition, dehydration, and specific nutrient deficiencies, and prevent refeeding syndrome. The nutritional support team should have the expertise to take care of these complex patients: fluid support; oral, enteral, and PN; disease/PN-related complications; pharmacologic treatment; and surgical prevention/treatment. Key Messages: CIF-SBS is a complex disease with undesired consequences, if not adequately identified and managed. A comprehensive approach performed by a multidisciplinary team is essential to reduce PN dependence, promote enteral independence, and improve quality of life.eng
dc.identifier.citationFrancisco Vara-Luiz, Luísa Glória, Ivo Mendes, Sandra Carlos, Paula Guerra, Gonçalo Nunes, Cátia Sofia Oliveira, Andreia Ferreira, Ana Paula Santos, Jorge Fonseca; Chronic Intestinal Failure and Short Bowel Syndrome in Adults: The State of the Art. GE Port J Gastroenterol 3 December 2024; 31 (6): 388–400. https://doi.org/10.1159/000538938
dc.identifier.doi10.1159/000538938
dc.identifier.issn2387-1954
dc.identifier.urihttp://hdl.handle.net/10400.26/62345
dc.language.isoeng
dc.peerreviewedyes
dc.publisherKarger
dc.relation.hasversionhttps://doi.org/10.1159/000538938
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectIntestinal failure
dc.subjectHome parenteral nutrition
dc.subjectShort bowel syndrome
dc.titleChronic Intestinal failure and short bowel syndrome in adults : the state of the arteng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage400
oaire.citation.issue6
oaire.citation.startPage388
oaire.citation.titleGE – Portuguese Journal of Gastroenterology
oaire.citation.volume31
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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