Articolo del mese Agosto 2016

ESPEN endorsed recommendation - Management of acute intestinal failure: A position paper from the European Society for Clinical Nutrition and Metabolism (ESPEN) Special Interest Group
Stanislaw Klek a, *, Alastair Forbes b, Simon Gabe c, Mette Holst d, Geert Wanten e, Øivind Irtun f, g, Steven Olde Damink h, Marina Panisic-Sekeljic i, Rosa Burgos Pelaez j, Loris Pironi k, Annika Reintam Blaser l, d, Henrik Højgaard Rasmussen d, Stephane M. Schneider m, Ronan Thibault n, Ruben G.J. Visschers h, Jonathan Shaffer Materials and methods: resistance and reactance, phase angle (PhA), and bioelectrical impedance vector analysis (BIVA).

Intestinal failure (IF) is the consequence of a reduction of gut function below the minimum necessary for the absorption of nutrients from the gastrointestinal tract. Types I and II comprise acute intestinal failure (AIF). Although its prevalence is relatively low, type II AIF is serious and requires specialist multidisci-plinary care, often for prolonged periods before its resolution. The key aspects are: sepsis control, fluid and electrolyte resuscitation, optimization of nutritional status, wound care, appropriate surgery and active rehabilitation. The ESPEN Acute Intestinal Failure Special Interest Group (AIF SIG) has devised this position paper to provide a state-of-the-art overview of the management of type II AIF and to point out areas for future research.

Klek S, et al., Management of acute intestinal failure: A position paper from the European Society for Clinical

Nutrition and Metabolism (ESPEN) Special Interest Group, Clinical Nutrition (2016), http://dx.doi.org/10.1016/j.clnu.2016.04.009

© 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.