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Clinical Management of Intestinal Failure





119.78€ 35.93€
Desconto -70 %
ISBN - 9781439813904
Autor(es) - Christopher P. Duggan, Kathleen M. Gura, Tom Jaksic (Editores)
Editora - CRC Press
Ano de Edição - 2011
N º de Páginas - 564


Description

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

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