Bridging-to-Surgery in Patients with Type 2 Intestinal Failure

• DOI: 10.1007/s11605-020-04741-0
• Publication Date: 2020-07-22T22:02:19Z
• Authors: Fleur E.E. de Vries; Jeroen J.M. Claessen; Elina M.S. van Ha...; Oddeke van Ruler; Cora Jonkers; Wanda Kuin; Irene van Arum; G. Miriam van der...; Mireille J. Serlie; Marja A. Boermeester
• Keywords: Hospitalization; Intestines; Parenteral Nutrition; 03 medical and health sciences; 0302 clinical medicine; Intestine, Small; Humans; Original Article; Parenteral Nutrition, Total; Retrospective Studies; 3. Good health

Type 2 intestinal failure (IF) is characterized by the need for longer-term parenteral nutrition (PN). During this so-called bridging-to-surgery period, morbidity and mortality rates are high. This study aimed to evaluate what extent a multidisciplinary IF team capable safely guide patients towards reconstructive surgery. A consecutive series of with type followed up specialized between January 1st, 2011, March 2016, was analyzed. Data on their first outpatient clinic visit (T1) last before surgery (T2) collected. The primary outcome combined endpoint patient being able recover at home, have (partial) oral intake, normal albumin level (> 35 g/L) Ninety-three were included. median number previous abdominal procedures 4. At T2 (last prior surgery), significantly more met compared T1 (first consultation) (66.7% vs. 28.0% (p < 0.0001), respectively); 86% had home PN. "bridging-to-surgery," acute hospitalization rate 40.9% 4.3%. Postoperatively, 44.1% experienced major complication, 5.4% fistula, in-hospital 6.5%. Of cohort, regained enteral autonomy, when excluding incomplete follow-up, 94.1%. An g/L weight loss > 10% preadmission significant risk factors complications. Bridging-to-surgery under guidance an resulted in majority managed having restored levels consultation.