TY - JOUR
T1 - ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults
AU - Pironi, Loris
AU - Arends, Jann
AU - Baxter, Janet
AU - Bozzetti, Federico
AU - Peláez, Rosa Burgos
AU - Cuerda, Cristina
AU - Forbes, Alastair
AU - Gabe, Simon
AU - Gillanders, Lyn
AU - Holst, Mette
AU - Jeppesen, Palle Bekker
AU - Joly, Francisca
AU - Kelly, Darlene
AU - Klek, Stanislaw
AU - Oivind, Irtun
AU - Olde Damink, Sw
AU - Panisic, Marina
AU - Rasmussen, Henrik Højgaard
AU - Staun, Michael
AU - Szczepanek, Kinga
AU - Van Gossum, André
AU - Wanten, Geert
AU - Schneider, Stéphane Michel
AU - Shaffer, Jon
AU - the Home Artificial Nutrition & Chronic Intestinal Failure and the Acute Intestinal Failure Special Interest Groups of ESPEN
N1 - Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.
PY - 2015
Y1 - 2015
N2 - 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.
AB - 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.
U2 - 10.1016/j.clnu.2014.08.017
DO - 10.1016/j.clnu.2014.08.017
M3 - Journal article
C2 - 25311444
SN - 0261-5614
VL - 34
SP - 171
EP - 180
JO - Clinical Nutrition
JF - Clinical Nutrition
IS - 2
ER -