Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:9132134.
doi: 10.1155/2016/9132134. Epub 2016 May 19.

Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team

Sabrina Furtado  1 , Najma Ahmed  2 , Sylviane Forget  2 , Ana Sant'Anna  2
Affiliations

Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team

Sabrina Furtado et al. Can J Gastroenterol Hepatol. 2016.

Abstract

Aim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team). We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart review of patients with intestinal failure over a 6-year period was performed. Outcomes of patients followed up by INFANT (2010-2012) were compared to a historical cohort (2007-2009). Results. Twenty-eight patients with intestinal failure were followed up by INFANT while the historical cohort was formed by 27 patients. There was no difference between the groups regarding remaining length of small and large bowel, presence of ICV, or number of infants who reached full enteral feeds. Patients followed up by INFANT took longer to attain full enteral feeds and had longer duration of PN, probably reflecting more complex cases. Overall mortality (14.8%/7.1%) was lower than other centers, probably illustrating our population of "early" intestinal failure patients. Conclusions. Our data demonstrates that the creation and implementation of a multidisciplinary program in a tertiary center without an intestinal and liver transplant program can lead to improvement in many aspects of their care.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow chart of patient selection. INFANT = INtestinal Failure and Advanced Nutrition Team; TPN = total parenteral nutrition.
See this image and copyright information in PMC

References

    1. Goday P. S. Short bowel syndrome: how short is too short? Clinics in Perinatology. 2009;36(1):101–110. doi: 10.1016/j.clp.2008.09.006. - DOI - PubMed
    1. Wales P. W., Christison-Lagay E. R. Short bowel syndrome: epidemiology and etiology. Seminars in Pediatric Surgery. 2010;19(1):3–9. doi: 10.1053/j.sempedsurg.2009.11.001. - DOI - PubMed
    1. Wales P. W., De Silva N., Kim J., Lecce L., To T., Moore A. Neonatal short bowel syndrome: population-based estimates of incidence and mortality rates. Journal of Pediatric Surgery. 2004;39(5):690–695. doi: 10.1016/j.jpedsurg.2004.01.036. - DOI - PubMed
    1. O'Keefe S. J. D., Buchman A. L., Fishbein T. M., Jeejeebhoy K. N., Jeppesen P. B., Shaffer J. Short bowel syndrome and intestinal failure: consensus definitions and overview. Clinical Gastroenterology and Hepatology. 2006;4(1):6–10. doi: 10.1016/j.cgh.2005.10.002. - DOI - PubMed
    1. Diamond I. R., de Silva N., Pencharz P. B., Kim J. H., Wales P. W. Neonatal short bowel syndrome outcomes after the establishment of the first Canadian multidisciplinary intestinal rehabilitation program: preliminary experience. Journal of Pediatric Surgery. 2007;42(5):806–811. doi: 10.1016/j.jpedsurg.2006.12.033. - DOI - PubMed

Publication types

LinkOut - more resources