Sections

• Introduction (00:00)
• What is intestinal failure? (01:39)
• Required bowel length (02:50)
• Nature history of short gut (05:39)
• Mortality in intestinal failure (07:07)
• Small bowel transplant candidacy (07:39)
• Causes of short gut (09:15)
• Medical management of short gut syndrome (09:42)
• Primary prevention of TPN cholestasis (12:40)
• Summary of medical management (16:15)
• Importance of breast milk (18:03)
• Formula selection (19:19)
• Management of volume administered (20:13)
• Surgical management of intestinal failure (21:47)
• Surgical evaluation (24:21)
• Surgical options (27:26)
• Bowel lengthening procedures (28:47)
• Bianchi procedure (29:59)
• STEP procedure (31:45)
• Bianchi procedure pearls (36:07)
• Role of tapering (38:10)
• Secondary prevention of TPN cholestasis (38:43)
• Medical management of intestinal bacterial overgrowth (40:16)
• Role of growth factors (43:39)
• Intestinal transplant (46:34)
• Management of central line-associated infections (49:33)
• Intestinal transplant as last resort (50:06)