Cleveland Clinic, Cleveland OH 44195, USA.
Nutr Clin Pract. 2010 Apr;25(2):183-91. doi: 10.1177/0884533610361526.
Intestinal failure is a complex disease state for which extensive therapy is often required. Parenteral nutrition is one of these therapies, but with its long-term use, life-threatening complications may develop. Intestinal rehabilitation to enhance intestinal absorption and function through diet and medication is another therapy that can be used in hopes of weaning parenteral nutrition and preventing malnutrition. For patients who develop complications from parenteral nutrition and fail intestinal rehabilitation interventions, intestinal transplantation may be the best option. In this review, therapies available for intestinal failure and the use of a multidisciplinary approach to the patient with intestinal failure will be reviewed.
肠衰竭是一种复杂的疾病状态,通常需要广泛的治疗。肠外营养是其中一种治疗方法,但长期使用可能会导致危及生命的并发症。肠康复通过饮食和药物来增强肠道吸收和功能是另一种治疗方法,可以用于希望逐渐停用肠外营养和预防营养不良。对于因肠外营养而出现并发症且肠康复干预失败的患者,肠移植可能是最佳选择。本文将回顾肠衰竭的可用治疗方法以及多学科方法在肠衰竭患者中的应用。