Intestinal Failure and Rehabilitation: A

Parenteral nutrition is the standard of care for patients who are unable to maintain nutritional status via the gastrointestinal tract. New techniques in this therapy are giving patients with intestinal failure the time they need to achieve maximal intestinal rehabilitation and return to a more normal and productive life.Edited and written by an international group of experts in the field, Intestinal Failure and Rehabilitation: A Clinical Guide presents the most current information regarding the prevention, diagnosis, care, and management of patients with intestinal failure. Organized in a logical manner, the book opens with a review of the basic principles and concepts, and progresses into discussions on diagnostic evaluation using a variety of techniques, and treatment plan formulation. The next section addresses dietary modifications, medical management, the use of trophic substances, enteral and parenteral nutrition, surgery, and transplantation. Following a discussion of special considerations, such as pediatrics and enterostomaltherapy, the text concludes with outcomes and future directions for research.This volume is devoted solely to intestinal failure and all of the information is supported by evidence-based medicine. It greatly enhances understanding of this area and aids in the care and rehabilitation of individuals with intestinal insufficiency.

Introduction: The Evolution of Care of Patients with Intestinal Failure	p. 1
Anatomy and Physiology of the Gastrointestinal Tract	p. 5
The Etiology and Mechanism of Intestinal Failure	p. 25
Diarrhea in Short Bowel Syndrome	p. 39
Abnormalities in Fluid and Electrolyte Absorption in Intestinal Failure	p. 49
Metabolic and Nutritional Consequences of Intestinal Failure	p. 67
Nutrition Assessment	p. 83
Malnutrition: Vitamin and Trace Mineral Deficiencies	p. 103
Physiologic and Laboratory Testing for Malabsorption and Short Bowel Syndrome	p. 115
The Role of Diet and Specific Nutrients	p. 129
Medications: Antidiarrheals, H[subscript 2] Blockers, Proton Pump Inhibitors, and Antisecretory Therapy	p. 149
Pancreatic Enzyme Replacement and Bile Acid Therapy	p. 161
Antimicrobials and Probiotics	p. 177
Use of Trophic Substances in the Treatment of Intestinal Failure	p. 187
Enteral Nutrition in Intestinal Failure	p. 209
Parenteral Nutrition	p. 229
Parenteral Nutrition-Associated Hepatobiliary and Renal Disease	p. 249
Prevention of Short Bowel Syndrome in Crohn's Disease	p. 265
Surgery for Intestinal Failure	p. 279
Intestinal Failure and Visceral Transplantation: A New Era of Colossal Achievement	p. 295
Medication Delivery in Intestinal Failure	p. 321
Survival and Quality of Life on Home Parenteral and Enteral Nutrition	p. 333
Specialized Nutrition: The Patient Perspective	p. 353
Establishment of an Intestinal Rehabilitation Program	p. 367
Index	p. 385
Table of Contents provided by Rittenhouse. All Rights Reserved.

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Intestinal Failure and Rehabilitation: A Clinical Guide

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