1. Insuffisance intestinale aiguë et réinstillation de chyme.
- Author
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Fatseas, Jules, Grandval, Philippe, and Barraud-Blanc, Marine
- Abstract
Intestinal failure is the reduction of intestinal absorption capacity below a critical threshold. This is an unstable metabolic situation. Short bowel syndrome is one of the common causes. Their management is multidisciplinary and complex, requiring dedicated centers and sometimes long-term monitoring with parenteral nutrition at home. The development of recommendations and the standardization of practices had improved the prognosis of this pathology. Initial management in the acute phase and associated complications must be known: nutrition, hydration, management of stomia, wounds and infections. The refeeding should be as early as possible. The oral and enteral routes are preferred. Certain conditions require parenteral nutrition. Therapeutic education is essential. Nutritional rules and treatments are most often sufficient to reduce digestive losses. Otherwise, chyme re-infusion may be proposed in high-output enterostomy. This technique has been known since 1977, numerous studies since then have confirmed its theoretical and clinical interest. The system currently on the market still faces some technical problems but its reimbursement since 2022 should promote its spread and improve its use. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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