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Journal of Nutrition Research
An official journal of IAPEN India association

Article

Nutritional Management in the Compromised Gut: Short Bowel Syndrome, Enterocutaneous Fistula, and Stoma
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Journal of Nutrition Research

DOI: 10.55289/jnutres/v11i2_23.20

Year: 2023, Volume: 11, Issue: 2, Pages: 38-46

Guideline

Nutritional Management in the Compromised Gut: Short Bowel Syndrome, Enterocutaneous Fistula, and Stoma

Gourav Kaushal 1 , S Anand​ ✉ 2 , Raksha Ranjan 3 , Ridashisha Bani 4

1 Assistant Professor, Department of Surgical Gastroenterology, Department of Paediatrics, AIIMS Bathinda, Punjab, India
2 Consultant minimally invasive GI and HPB surgeon, Apollo main hospital, Greams road, Chennai, India
3 Assistant Professor, Department of Paediatrics, Adesh Institute of medical sciences and Research, Bathinda, Punjab, India
4 Nursing officer, Department of Surgical Gastroenterology, AIIMS Rishikesh, Uttarakhand, India

Corresponding author ✉: [email protected]

Received Date:21 June 2023, Accepted Date:29 July 2023, Published Date:11 August 2023

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Nutrition in patients with a compromised gut is a challenge requiring a multidisciplinary management and necessitates individualized nutritional planning. Intestinal failure is defined as significant deficit in gut absorption of micro and macronutrients such that intravenous supplementation is necessary to sustain life. If absorption is inadequate, however intravenous supplementation is not required, it is called intestinal insufficiency. Short bowel syndrome and entero cutaneous fistula are the most common conditions leading to intestinal insufficiency and failure. These conditions in the initial phase may lead to significant loss of fluids and electrolytes and require multidisciplinary team management. Definite plan for restoration of adequately functioning bowel after stabilization of patient is important. Based on evidences, recommendations for nutritional management in such patients were thoroughly discussed and approved by the Gastrointestinal nutrition core committee of the Indian Association of Parenteral and enteral nutrition (IAPEN).

Keywords: Short bowel syndrome, Enterocutaneous fistula, Nutrition

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Copyright

© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

  • 11 August 2023

Year: 2023, Volume: 11, Issue: 2


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