ESPEN practical guideline: Clinical nutrition in chronic intestinal failure

Cristina Cuerda; Loris Pironi; Jann Arends; Federico Bozzetti; Lyn Gillanders; Palle Bekker Jeppesen; Francisca Joly; Darlene Kelly; Simon Lal; Michael Staun; Kinga Szczepanek; André Van Gossum; Geert Wanten; Stéphane Michel Schneider; Stephan C Bischoff; Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of ESPEN

doi:10.1016/j.clnu.2021.07.002

ESPEN practical guideline: Clinical nutrition in chronic intestinal failure

Clin Nutr. 2021 Sep;40(9):5196-5220. doi: 10.1016/j.clnu.2021.07.002. Epub 2021 Aug 2.

Authors

Cristina Cuerda¹, Loris Pironi², Jann Arends³, Federico Bozzetti⁴, Lyn Gillanders⁵, Palle Bekker Jeppesen⁶, Francisca Joly⁷, Darlene Kelly⁸, Simon Lal⁹, Michael Staun⁶, Kinga Szczepanek¹⁰, André Van Gossum¹¹, Geert Wanten¹², Stéphane Michel Schneider¹³, Stephan C Bischoff¹⁴; Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of ESPEN

Affiliations

¹ Nutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain. Electronic address: [email protected].
² Alma Mater Studiorum - University of Bologna, Department of Medical and Surgical Sciences, Italy; IRCCS Azienda Ospedaliero-Universitaria di Bologna, Centre for Chronic Intestinal Failure - Clinical Nutrition and Metabolism Unit, Italy.
³ Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
⁴ Faculty of Medicine, University of Milan, Milan, Italy.
⁵ Emeritus of Auckland City Hospital, Auckland, New Zealand.
⁶ Rigshospitalet, Department of Intestinal Failure and Liver Diseases Gastroenterology, Copenhagen, Denmark.
⁷ Centre for Intestinal Failure, Department of Gastroenterology and Nutritional Support, Hôpital Beaujon, Clichy, France.
⁸ Emeritus of Mayo Graduate School of Medicine, Rochester, Minnesota.
⁹ Intestinal Failure Unit, Salford Royal Foundation Trust, Salford, UK.
¹⁰ General and Oncology Surgery Unit, Stanley Dudrick's Memorial Hospital, Skawina, Poland.
¹¹ Medico-Surgical Department of Gastroenterology, Hôpital Erasme, Free University of Brussels, Belgium.
¹² Intestinal Failure Unit, Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
¹³ Gastroenterology and Clinical Nutrition, CHU of Nice, University of Nice Sophia Antipolis, Nice, France.
¹⁴ Department of Nutritional Medicine and Prevention, University of Hohenheim, Stuttgart, Germany.

PMID: 34479179
DOI: 10.1016/j.clnu.2021.07.002

Abstract

Background: This practical guideline is based on the ESPEN Guidelines on Chronic Intestinal Failure in Adults.

Methodology: ESPEN guidelines have been shortened and transformed into flow charts for easier use in clinical practice. The practical guideline is dedicated to all professionals including physicians, dieticians, nutritionists, and nurses working with patients with chronic intestinal failure.

Results: This practical guideline consists of 112 recommendations with short commentaries for the management and treatment of benign chronic intestinal failure, including home parenteral nutrition and its complications, intestinal rehabilitation, and intestinal transplantation.

Conclusion: This practical guideline gives guidance to health care providers involved in the management of patients with chronic intestinal failure.

Keywords: Guideline; Home parenteral nutrition; Intestinal failure; Intestinal pseudo-obstruction; Intestinal transplantation; Short bowel syndrome.

Publication types

Practice Guideline

MeSH terms

Adult
Chronic Disease
Female
Gastroenterology / standards*
Humans
Intestinal Failure / therapy*
Male
Nutrition Therapy / standards*
Parenteral Nutrition, Home / standards