Intestinal failure

Dr Zishan Sheikh et al.

Intestinal failure is when a patient's native bowel is unable to digest and absorb  the food, electrolytes and fluids needed for normal growth and development. 

This often includes intractable diarrhoea, weight loss, dehydration, electrolyte imbalance, and malnutrition.

Aetiology
Paediatric
Adult

The role of imaging lies in identifying post-surgical bowel anatomy, congenital malformations, segmental disease involvement, measuring bowel length and identifying associated collections or other acute complications.

When related to acute infection or inflammation relevant medical treatment is combined with a period of total parenteral nutrition (TPN). In cases of fistula related intestinal failure, some cases may benefit from surgery including defunctioning stomas 3

Long-term TPN via indwelling central venous catheters is used for patients with chronic failure. This is associated with significant long-term complications, and some patients may eventually undergo intestinal transplantation.

Multiple other surgical techniques including bowel lengthening, tapering and valve implantation have been described but remain controversial.

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Article Information

rID: 49848
Section: Gamuts
Tag: cases
Synonyms or Alternate Spellings:

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