Intestinal Failure

Question 1

What is it?

Answer 1

Inability of intestine to maintain adequate nutrition or fluid status via the intestines

Question 2

What can IF be a result of?

Answer 2

Obstruction dysmotility, surgical resection, congenital defect or an absorption problem

Question 3

How is it diagnosed?

Answer 3

Classified as types of intestinal failure:

• Acute IF= Type 1&2
• Chronic IF- Type 3&4

Question 4

What is type 1 IF?

Answer 4

Self-limiting IF, critical illness

Question 5

What is type 2 IF?

Answer 5

Serious illness requiring prolonged parenteral support

Question 6

What is type 3 IF?

Answer 6

Long term parenteral support at home

Question 7

How is IF treated?

Answer 7

-IV supplementation is required because the reduced function of the intestine for the absorption of macronutrients and water.

Question 8

Treating type 1 IF?

Answer 8

Replace the fluid and correct electrolytes, give Parenteral nutrition
PPIs

Question 9

Treating type 2 IF?

Answer 9

Generally septic patients with abdominal fistulae so will most likely need weeks/months of care in ICU

Question 10

Treating type 3 IF?

Answer 10

Home parenteral nutrition

Intestinal transplant: last resort when loss of venous access or liver disease