Intestinal failure

Question 1

Intestinal failure

Answer 1

Due to the inability to maintain adequate nutrition or fluid status in the intestines

Question 2

Causes

Answer 2

Intestinal obstruction
Dysmotility
Surgical resection 
Congenital defect 
Malabsorption

Question 3

Acute IF

• time
• types

Answer 3

Short term, 2 weeks

Types: type 1 and 2

Question 4

Chronic IF

• time
• types

Answer 4

Long term

Type 3

Question 5

Type 1 IF

• causes
• managemet

Answer 5

Cause: Short term post op, paralytic ileus
Pt is normal or moderately malnourished
Management: replace fluids and electrolytes, possible parenteral nutrition, PPI, allow some diet

Question 6

Type 2 IF

• causes
• management

Answer 6

Cause: abdominal surgery with complications
Management: parenteral +/- some enteral feeding

Question 7

Type 3 IF

- management

Answer 7

Long term
Causes: short bowel syndrome
Management: Home parenteral nutrition, small bowel transplant

Question 8

Short bowel syndrome

Answer 8

Reduction in the length of the small bowel
Bowel <200cm
Insufficient length of small bowel to meet nutritional needs without artificial nutritional support