This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Outcome of acute intestinal failure. BJS 2016; 103: 701-708.
Published: 21st March 2016
Authors: J. J. Atema, B. Mirck, I. Van Arum, S. M. ten Dam, M. J. Serlie, M. A. Boermeester et al.
Background
Type 2 acute intestinal failure is characterized by the need for parenteral nutrition (
Method
Consecutive patients with type 2 intestinal failure referred to a specialized centre were analysed. Outcomes included the rate of discontinuation of
Results
Eighty‐nine patients were analysed, of whom 57 had an enteric fistula, 29 a proximal stoma (6 with distal fistulas), and three had intestinal failure owing to other causes. One patient was deemed inoperable, and nine patients died from underlying illness during initial management. Before reconstructive surgery, 94 per cent (65 of 66 operated and 3 patients scheduled for surgery) spent the period of rehabilitation at home. Discontinuation of
Conclusion
Intestinal failure care and reconstructive surgery resulted in successful discontinuation of
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