Intestinal Failure

Type I - short term

  • Self-limiting e.g. surgical ileus, critical illness, vomiting

Management

  • Replace fluid and correct electrolytes
  • PN if unable to tolerate oral food/fluids >7 days post op
  • PPIs

Type II - medium term

  • e.g. post-surgery awaiting reconstruction

Management

  • PN support

Type III - long term

  • Chronic intestinal failure e.g. short bowel syndrome, Crohn’s

Management

  • Home PN
  • Intestinal transplantation may be indicated