Loris Pironi1, Jann Arends2, Janet Baxter3, Federico Bozzetti4, Rosa Burgos Peláez5, Cristina Cuerda6, Alastair Forbes7, Simon Gabe8, Lyn Gillanders9, Mette Holst10, Palle Bekker Jeppesen11, Francisca Joly12, Darlene Kelly13, Stanislaw Klek14, Øivind Irtun15, S W Olde Damink16, Marina Panisic17, Henrik Højgaard Rasmussen10, Michael Staun11, Kinga Szczepanek14, André Van Gossum18, Geert Wanten19, Stéphane Michel Schneider20, Jon Shaffer21. 1. Center for Chronic Intestinal Failure, St. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy. Electronic address: loris.pironi@unibo.it. 2. Tumor Biology Center, Albert-Ludwigs-University, Freiburg, Germany. 3. Tayside Nutrition Managed Clinical Network, Dundee, UK. 4. Faculty of Medicine, University of Milan, Milan, Italy. 5. Nutritional Support Unit, University Hospital Vall d'Hebron, Barcelona, Spain. 6. Nutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain. 7. University of East Anglia, Norwich Research Park, Norwich, UK. 8. The Lennard-Jones Intestinal Failure Unit, St Mark's Hospital and Academic Institute, Harrow, UK. 9. National Intestinal Failure Service, Auckland City Hospital (AuSPEN), Auckland, New Zealand. 10. Centre for Nutrition and Bowel Disease, Department of Gastroenterology, Aalborg University Hospital, Aalborg, Denmark. 11. Rigshospitalet, Department of Gastroenterology, Copenhagen, Denmark. 12. Centre for Intestinal Failure, Department of Gastroenterology and Nutritional Support, Hôpital Beaujon, Clichy, France. 13. Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota and Oley Foundation for Home Parenteral and Enteral Nutrition, Albany, NY, USA. 14. General and Oncology Surgery Unit, Stanley Dudrick's Memorial Hospital, Skawina, Poland. 15. Dept. of Gastroenterologic Surgery, University Hospital North-Norway, Tromso, Norway. 16. Department of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands. 17. Department for Perioperative Nutrition, Clinic for General Surgery, Military Medica Academy, Belgrade, Serbia. 18. Medico-Surgical Department of Gastroenterology, Hôpital Erasme, Free University of Brussels, Belgium. 19. Intestinal Failure Unit, Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. 20. Gastroenterology and Clinical Nutrition, CHU of Nice, University of Nice Sophia Antipolis, Nice, France. 21. Intestinal failure Unit, Salford Royal Hospital, Salford, UK.
Abstract
BACKGROUND & AIMS: Intestinal failure (IF) is not included in the list of PubMed Mesh terms, as failure is the term describing a state of non functioning of other organs, and as such is not well recognized. No scientific society has yet devised a formal definition and classification of IF. The European Society for Clinical Nutrition and Metabolism guideline committee endorsed its "home artificial nutrition and chronic IF" and "acute IF" special interest groups to write recommendations on these issues. METHODS: After a Medline Search, in December 2013, for "intestinal failure" and "review"[Publication Type], the project was developed using the Delphi round methodology. The final consensus was reached on March 2014, after 5 Delphi rounds and two live meetings. RESULTS: The recommendations comprise the definition of IF, a functional and a pathophysiological classification for both acute and chronic IF and a clinical classification of chronic IF. IF was defined as "the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth". CONCLUSIONS: This formal definition and classification of IF, will facilitate communication and cooperation among professionals in clinical practice, organization and management, and research.
BACKGROUND & AIMS:Intestinal failure (IF) is not included in the list of PubMed Mesh terms, as failure is the term describing a state of non functioning of other organs, and as such is not well recognized. No scientific society has yet devised a formal definition and classification of IF. The European Society for Clinical Nutrition and Metabolism guideline committee endorsed its "home artificial nutrition and chronic IF" and "acute IF" special interest groups to write recommendations on these issues. METHODS: After a Medline Search, in December 2013, for "intestinal failure" and "review"[Publication Type], the project was developed using the Delphi round methodology. The final consensus was reached on March 2014, after 5 Delphi rounds and two live meetings. RESULTS: The recommendations comprise the definition of IF, a functional and a pathophysiological classification for both acute and chronic IF and a clinical classification of chronic IF. IF was defined as "the reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, such that intravenous supplementation is required to maintain health and/or growth". CONCLUSIONS: This formal definition and classification of IF, will facilitate communication and cooperation among professionals in clinical practice, organization and management, and research.
Authors: G Pellino; D S Keller; G M Sampietro; V Annese; M Carvello; V Celentano; C Coco; F Colombo; N Cracco; F Di Candido; M Franceschi; S Laureti; G Mattioli; L Pio; G Sciaudone; G Sica; V Villanacci; R Zinicola; S Leone; S Danese; A Spinelli; G Delaini; F Selvaggi Journal: Tech Coloproctol Date: 2020-01-25 Impact factor: 3.781