Year: 2024
Type: article
Abstract: Background: High output enterostomy associated malnutrition is a feature of intestinal failure (IF). Chyme reinfusion therapy (CRT) is recommended for restoration of physiological digestive processes in type 2 IF patients. Nevertheless, widespread use of manual CRT has limitations. Recently, innovative technology has demonstrated enhanced intestinal absorption and decreased intestinal losses, associated with improved nutritional and clinical outcomes. Case Report: A pilot comparison of pump-assisted versus manual CRT was conducted on two short bowel syndrome (SBS) cases using a check list and key informant interviews. Conclusion: Manual CRT was unpopular among nurses and caregivers, causing frequent interruptions in the procedure. Alternatively, pump-assisted CRT was safe, well tolerated by the patients and accepted by caregivers. The automated system has physiological advantages over parenteral nutrition (PN) with relatively few complications. It could be a cost effective and valuable addition to IF nutritional management but requires verification in a larger planned comparative study.
Source: Intestinal failure.
Authors: W.Tehana.S. Perera, Hardy Gil, Ishan De Zoysa
Institution: National Hospital of Sri Lanka
Language: English
Subfield: Nutrition and Dietetics
Field: Nursing
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,750
OpenAlex ID: W4409018447