Indian Journal of Critical Care Medicine

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VOLUME 24 , ISSUE S4 ( September, 2020 ) > List of Articles

INVITED REVIEW

Acute Intestinal Failure

Shweta R Chandankhede

Keywords : Acute intestinal failure, Critically ill, Enteral feeding, Intra-abdominal pressure, Multiorgan dysfunction syndrome, Parenteral nutrition, Short bowel syndrome

Citation Information :

DOI: 10.5005/jp-journals-10071-23618

License: CC BY-NC 4.0

Published Online: 18-11-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Acute intestinal failure (AIF), “reduction of gut function below the minimum necessary for the absorption of macronutrients and/or water and electrolytes, requiring parenteral nutrition”, is common, but very often neglected part of multiorgan dysfunction syndrome (MODS) in the critically ill patients. It is now increasingly being recognized as a cause of prolonged ICU and hospital stay and poor outcome. Multidisciplinary team approach, systematic approach to management with treatment of sepsis, early mobilization and enteral feeding with prokinetics if required, control of intra-abdominal pressure and surgical intervention, when mandated, can help treat AIF and improve patient outcomes.


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