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 - Irtun, Øivind

AU - Olde Damink, S W

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 - Home Artificial Nutrition & Chronic Intestinal Failure

N1 - Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

PY - 2015/4

Y1 - 2015/4

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

VL - 34

SP - 171

EP - 180

JO - Clinical Nutrition

JF - Clinical Nutrition

SN - 0261-5614

IS - 2

ER -