This is the second and fully updated edition of the successful volume on intestinal failure in adults and children. The book provides a comprehensive coverage of all aspects of intestinal failure: from acute and chronic intestinal failure management and treatment, to outcomes, consequences and problems of treatment. In addition, 20 new chapters have been added, covering acute and chronic pancreatitis, critical care and abdominal pain among other topics. Each of the chapters contains a section with top tips on the topic, summarizing the essential take-home messages. Highly educational, this book is a must have for gastroenterologists but is of use for all members of a hospital nutrition support team including nurses, dietitians and pharmacists, whom it will serve as a practical guide for management of intestinal failure both in the hospital and in an outpatient setting. Written by a multidisciplinary author team, this book brings this important subject to a wide readership. With extensive referencing the book provides a detailed overview of the topic, discussing the latest research in the subject and how this relates to current clinical practice and potential future treatments.


Part I. Introduction
Historical Overview of Intestinal Failure
Normal Intestinal Anatomy and Physiology
Definitions, Classification and Severity of Intestinal Failure
Part II. Acute (Short and Medium Term Reversible) Intestinal Failure
Postoperative Ileus
Acute Surgical Intestinal Failure. Sepsis and Enterocutaneous Fistula(s)
Mesenteric Ischemia
Crohn's Disease
Peritoneal Adhesions and Encapsulating Peritoneal Sclerosis
Bone Marrow and Haemopoietic Stem Cell Transplantation
Non-surgical Cancer Treatments
Bacterial Overgrowth and Enteric Infections
Extensive Mucosal Disease: Coeliac Disease and Eosinophilic Enteritis
Intestinal Failure in Critical Care
Eating Disorders in Adults
Intestinal Failure in Children: A Paediatric Surgical Perspective
Part III. Chronic (Long-Term) Intestinal Failure
Physiology and Problems of a Short Bowel
Chronic Small Bowel Dysfunction
Pelvic Radiation Disease and the Gastrointestinal Tract
Problems After Gastric Surgery
Surgery for Obesity and Its Consequences
Intestinal Failure in Childhood
Part IV. Consequences of Intestinal Failure
Consequences of Undernutrition and Dehydration
Refeeding Problems
Intestinal Failure Associated Liver Disease
Acid-Base Disturbances
Gallstones in Intestinal Failure
Nephrolithiasis and Nephrocalcinosis
Bone and Joint Disease
Intestinal Adaptation
Part V. Assessment and Treatment of Intestinal Failure
Assessment of Nutritional and Fluid Status
Radiology in Intestinal Failure
Insertion, Types and Care of Enteral Feeding Tubes
Formulation and Administration of Enteral Feeds
Access for Parenteral Support
Formulation of Parenteral Nutrition Regimens
Designing Parenteral and Enteral Regimens
Nursing Care of Patients Receiving Home Parenteral Support
Care of Intestinal Stoma and Enterocutaneous Fistula(s)
Management of a High Output Stoma, Jejunotomy or Uncomplicated Enterocutaneous Fistula
Dietary Treatment of Patients with a Short Bowel
Pro-adaptive Hormones in the Rehabilitation of Adult Patients with a Short Bowel
Drug Absorption in Patients with a Short Bowel
Distal Feeding and Hydration
Chronic Abdominal Pain
Psychological Aspects of Intestinal Failure
Part VI. Outcome of Intestinal Failure
Home Enteral Nutrition in Adults: Indications and Outcomes
Home Parenteral Support for Adults
Home Enteral and Parenteral Support for Children
Home Parenteral Support for Patients with Incurable Advance Cancer
Monitoring of Parenteral Nutrition at Home
Quality of Life
The Patient's Requirements
Nutritional Support Services
Ethical and Legal Aspects of Nutritional Support
Part VII. Problems of Treatment
Enteral Nutrition
Prevention, Diagnosis and Management of Catheter-Related Blood Stream Infections
Central Vein Thrombosis
Part VIII. Surgical Treatment of Chronic Intestinal Failure
Surgery for Patients with a Short Bowel and Tissue Engineering
Intestinal Transplantation
Abdominal Wall Repair in Intestinal Failure
Part IX. Pancreatitis
Intestinal Dysfunction and Failure in Acute Pancreatitis
Medical, Nutritional and Surgical Management of Chronic Pancreatitis