Intestinal Failure, Malnutrition & Malabsorption

Question 1

What is intestinal failure?

Answer 1

Inability to maintain adequate nutrition or fluids

Question 2

What are some causes of intestinal failure (TDCAP)?

Answer 2

Tropical sprue
Disaccharide deficiency
Coeliac/Crohn's
A-beta-lipoproteinemia
Pancreatic

Question 3

What is the time frame for acute intestinal failure?

Answer 3

Up to 2 weeks

Question 4

Score and values that determine malabsorption treatment + at risk score?

Answer 4

MUST score
BMI < 20 = 1 / BMI < 18.5 = 2
> 5% unintentional weight loss = 1 / > 10% = 2
> 5 days of not going to eat = 1
Score > 2 is at risk

Question 5

Cause and treatment for type I intestinal failure?

Answer 5

Any acute disease

Fluids + PPI

Question 6

Cause and treatment for type II intestinal failure?

Answer 6

Any chronic disease

Parenteral feeding

Question 7

Cause and treatment for type III intestinal failure + which one is better?

Answer 7

Any chronic disease + SBS

Home parenteral nutrition or transplant (better)

Question 8

What is enteral vs parenteral nutrition?

Answer 8

Enteral = tube feeding
Parenteral = venous feeding

Question 9

Type of nutritional support for older people with functional GI tract?

Answer 9

Oral supplements

Question 10

Type of nutritional support for people with functional but obstructed GI tract?

Answer 10

Enteral feeding

Question 11

Type of nutritional support for people with a non-functional GI tract?

Answer 11

Parenteral feeding

Question 12

Is low albumin (blood protein) a definitive diagnosis of malnutrition?

Answer 12

No

Question 13

Short bowel syndrome is a bowel shorter than?

Answer 13

200 cm

Question 14

2 causes of short bowel syndrome?

Answer 14

Congenital

Surgical resection