Clinical Management of Intestinal Failure

Clinical Management of Intestinal Failure

63,48€ 126,97€
Iva incluído à taxa legal (6%)
EditoraCRC Press
ISBN: 9781439813904
Ano: 2011
Paginas: 564

Overview

A complex disease entity, intestinal failure (IF) has only recently become accepted as a distinct clinical syndrome. Improvements across a wide range of disciplines—including critical care a...

A complex disease entity, intestinal failure (IF) has only recently become accepted as a distinct clinical syndrome. Improvements across a wide range of disciplines—including critical care and organ transplantation as well as surgical, medical, and nutritional therapies—have led to a steady rise in survival and quality of life for patients with IF. Taking a current, multidisciplinary approach to their care, Clinical Management of Intestinal Failure offers intensive discussion of medical and nutritional issues in adults and children with intestinal failure. It addresses all facets of IF, including epidemiology, clinical presentation, intestinal rehabilitation, and transplantation.


Topics covered include:


•Etiology and epidemiology

•Pathophysiology and clinical assessment

•Medical and surgical management

•Prevention and treatment of complications

•Nursing management

•Emerging diagnostic and therapeutic methods

•Long-term care


Reflecting the diverse nature of IF clinical care and research, this book is written by a group of expert clinician scientists that includes gastroenterologists, surgeons, nurses, pharmacists, dietitians, social workers, and patients. They show how a multidisciplinary approach to patient care is instrumental in achieving optimal patient outcomes through more efficient lines of communication, improved monitoring of medications and their effects, detailed evaluation of growth parameters, and facilitation of the creative process that can lead to research breakthroughs.

Advancing the discipline of IF, this book summarizes the current state of the art of patient management as well as new developments in the science of tissue engineering, medical and surgical therapy, and transplantation.



Contents


Introduction


Intestinal Failure

Etiology and Epidemiology of Intestinal Failure

Pathophysiology of Intestinal Failure

Motility Disorders in Intestinal Failure

Clinical Assessment of Intestinal Failure in Children

Clinical Assessment of Intestinal Failure in Adults

Gastrointestinal Endoscopy and Pathologic Findings

Radiographic Evaluation


Medical and Surgical Management

Principles of Bowel-Preserving Surgery

Medical and Nutritional Management

Parenteral Nutrition in Children

Parenteral Nutrition in Adults

Vascular Access Devices

Enteral Access

Transition to Enteral Nutrition

Drug Dosing and Pharmacokinetics

Autologous Intestinal Reconstruction Surgery

Intestinal Transplantation

Critical Care Management


Prevention and Treatment of Complications of Intestinal Failure

Central Venous Catheter Infections: Prevention and Treatment

Intestinal Failure–Associated Liver Disease

Use of Parenteral Fish Oil in the Management of IF–Associated Liver Disease

Osteopenia and Bone Health in Patients with Intestinal Failure

Micronutrient Deficiencies in Intestinal Failure

Bacterial Overgrowth of the Small Intestine


Nursing Management

Ostomy Management

Central Venous Catheter Care

Medication Administration in the Enterally Fed Patient


Emerging Diagnostic and Therapeutic Methods

Intravenous Fat Emulsions

Probiotics and Prebiotics

Tissue-Engineered Intestine

Assessment of Mucosal Mass and Hormonal Therapy


Long-Term Care

Home Parenteral and Enteral Nutrition

Quality of Life

Social and Medical Insurance Issues

Oral Aversion

A Patient’s Perspective

Ethical Issues in Patient Care

Support Groups


Index