Chronic intestinal failure: Medical treatment, home parenteral nutrition, training and monitoring

Clinical Nutrition ESPEN 2026 Open access

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Authors: Lisa La, Lore Billiauws, Simon Lal, A. Van Gossum, Geert Wanten, Loris Pironi, Francisca Joly
DOI: 10.1016/j.clnesp.2026.103336
Cited by: 1
References: 28

Abstract

Chronic intestinal failure (CIF) requires parenteral nutrition (PN) as its main treatment to sustain health. Short Bowel Syndrom (SBS) is its main cause. Medical management includes dietary approaches, anti-secretory and anti-motility drugs. Recently, GLP-2 analogs like teduglutide for selected patients have helped treated patient to reduce PN. A multidisciplinary nutritional support team (NSTs) is essential for HPN training, covering catheter care, complication prevention, and lifestyle adaptation to promote patients' autonomy. Monitoring protocols recommend 3 months-interval visits for stable patients, to assess clinical status, anthropometrics and biochemistry. Vitamins, trace elements, and HPN complications should be monitored annually or as needed.

Fields of Study & Subjects

Clinical Nutrition and Gastroenterology Enhanced Recovery After Surgery Dietary Effects on Health

Publication details

Journal / source
Clinical Nutrition ESPEN
Publisher
Elsevier BV
Volume
74
Pages
103336–103336
Publication date
14 May 2026
Language
EN