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ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Colon polyps in patients with short bowel syndrome before and after teduglutide: Post hoc analysis of the STEPS study series

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Enteral Autonomy and Days Off Parenteral Support With Teduglutide Treatment for Short Bowel Syndrome in the STEPS Trials

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Repeated Metabolic Balance Studies in Patients With Short Bowel Syndrome

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Impact of Teduglutide on Quality of Life Among Patients With Short Bowel Syndrome and Intestinal Failure

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. An international study of the quality of life of adult patients treated with home parenteral nutrition

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Loris Pironi
  • Jann Arends
  • Janet Baxter
  • Federico Bozzetti
  • Rosa Burgos Peláez
  • Cristina Cuerda
  • Alastair Forbes
  • Simon Gabe
  • Lyn Gillanders
  • Mette Holst
  • Palle Bekker Jeppesen
  • Francisca Joly
  • Darlene Kelly
  • Stanislaw Klek
  • Øivind Irtun
  • Sw Olde Damink
  • Marina Panisic
  • Henrik Højgaard Rasmussen
  • Michael Staun
  • Kinga Szczepanek
  • André Van Gossum
  • Geert Wanten
  • Stéphane Michel Schneider
  • Jon Shaffer
  • the Home Artificial Nutrition & Chronic Intestinal Failure and the Acute Intestinal Failure Special Interest Groups of ESPEN
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BACKGROUND & AIMS: Intestinal failure (IF) is not included in the list of PubMed Mesh terms, as failure is the term describing a state of non functioning of other organs, and as such is not well recognized. No scientific society has yet devised a formal definition and classification of IF. The European Society for Clinical Nutrition and Metabolism guideline committee endorsed its "home artificial nutrition and chronic IF" and "acute IF" special interest groups to write recommendations on these issues.

METHODS: After a Medline Search, in December 2013, for "intestinal failure" and "review"[Publication Type], the project was developed using the Delphi round methodology. The final consensus was reached on March 2014, after 5 Delphi rounds and two live meetings.

RESULTS: The recommendations comprise the definition of IF, a functional and a pathophysiological classification for both acute and chronic IF and a clinical classification of chronic IF. IF was defined as "the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth".

CONCLUSIONS: This formal definition and classification of IF, will facilitate communication and cooperation among professionals in clinical practice, organization and management, and research.

Original languageEnglish
JournalClinical nutrition (Edinburgh, Scotland)
Volume34
Issue number2
Pages (from-to)171-80
ISSN0261-5614
DOIs
Publication statusPublished - 2015

ID: 45056705