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Open AccessFeature PaperReview

The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients

1
Erasmus Medical Center, Department of Pediatric Gastroenterology, Erasmus University Rotterdam, Sophia Children’s Hospital, 3015 GD Rotterdam, The Netherlands
2
Amsterdam UMC, Department of Pediatric Gastroenterology, University of Amsterdam, Emma Children’s Hospital, Hepatology and Nutrition, 1105 AZ Amsterdam, The Netherlands
3
Department of Pediatric Gastroenterology, Leiden University Medical Center, University of Leiden, Willem Alexander Children’s Hospital, 2300 RC Leiden, The Netherlands
*
Authors to whom correspondence should be addressed.
Nagelkerke and Vlug share first authorship. Tabbers and Rings share last authorship.
Nutrients 2020, 12(1), 172; https://doi.org/10.3390/nu12010172
Received: 17 December 2019 / Revised: 2 January 2020 / Accepted: 4 January 2020 / Published: 8 January 2020
(This article belongs to the Special Issue Nutritional Management of Intestinal Failure)
Parenteral nutrition (PN) is a complex and specialized form of nutrition support that has revolutionized the care for both pediatric and adult patients with acute and chronic intestinal failure (IF). This has led to the development of multidisciplinary teams focused on the management of patients receiving PN: nutrition support teams (NSTs). In this review we aim to discuss the historical aspects of IF management and NST development, and the practice, composition, and effectiveness of multidisciplinary care by NSTs in patients with IF. We also discuss the experience of two IF centers as an example of contemporary NSTs at work. An NST usually consists of at least a physician, nurse, dietitian, and pharmacist. Multidisciplinary care by an NST leads to fewer complications including infection and electrolyte disturbances, and better survival for patients receiving short- and long-term PN. Furthermore, it leads to a decrease in inappropriate prescriptions of short-term PN leading to significant cost reduction. Complex care for patients receiving PN necessitates close collaboration between team members and NSTs from other centers to optimize safety and effectiveness of PN use. View Full-Text
Keywords: nutrition support team; intestinal failure; parenteral nutrition nutrition support team; intestinal failure; parenteral nutrition
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Vlug, L.E.; Nagelkerke, S.C.J.; Jonkers-Schuitema, C.F.; Rings, E.H.H.M.; Tabbers, M.M. The Role of a Nutrition Support Team in the Management of Intestinal Failure Patients. Nutrients 2020, 12, 172.

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