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成人短肠综合征伴慢性肠衰竭患者的营养治疗。

Nutritional Therapy in Adult Short Bowel Syndrome Patients with Chronic Intestinal Failure.

机构信息

Department of Medical Gastroenterology, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, Copenhagen 2100, Denmark.

Department of Medical Gastroenterology, University Hospital of Copenhagen, Rigshospitalet, Blegdamsvej 9, Copenhagen 2100, Denmark.

出版信息

Gastroenterol Clin North Am. 2018 Mar;47(1):61-75. doi: 10.1016/j.gtc.2017.10.004. Epub 2017 Dec 6.

DOI:10.1016/j.gtc.2017.10.004
PMID:29413019
Abstract

Intestinal failure (IF) is the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that parenteral support (PS) is required to maintain health and/or growth. This article critically revises the gaps in and evidence for providing general nutritional therapy recommendations in the Short Bowel Syndrome-IF population. It addresses the need for an individualized approach, aiming to reduce or even eliminate the need for PS, and emphasizes a need to focus on effects of dietary interventions on the quality of life of these patients.

摘要

肠衰竭(IF)是指肠道功能降低到不足以吸收宏量营养素和/或水和电解质的最低限度,需要肠外支持(PS)来维持健康和/或生长。本文批判性地回顾了在短肠综合征-IF 人群中提供一般营养治疗建议的差距和证据。它提出了需要个体化治疗的方法,旨在减少甚至消除 PS 的需求,并强调需要关注饮食干预对这些患者生活质量的影响。

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