Intestinal Failure (2^nd Ed., 2nd ed. 2023)

This is the second and fully updated edition of the successful volume on intestinal failure in adults and children. The book provides a comprehensive coverage of all aspects of intestinal failure: from acute and chronic intestinal failure management and treatment, to outcomes, consequences and problems of treatment. In addition, 20 new chapters have been added, covering acute and chronic pancreatitis, critical care and abdominal pain among other topics.

Each of the chapters contains a section with top tips on the topic, summarizing the essential take-home messages. Highly educational, this book is a must have for gastroenterologists but is of use for all members of a hospital nutrition support team including nurses, dietitians and pharmacists, whom it will serve as a practical guide for management of intestinal failure both in the hospital and in an outpatient setting.

Written by a multidisciplinary author team, this book brings this important subject to a wide readership. With extensive referencing the book provides a detailed overview of the topic, discussing the latest research in the subject and how this relates to current clinical practice and potential future treatments.

FM - Introduction Definition, classification and severity of intestinal failure.-PART I: Background.-1 Historical aspects of intestinal failure.- 2 Normal intestinal anatomy and physiology.-PART II. Acute (Reversible) Intestinal Failure.- 3 Postoperative Ileus.- 4 Acute surgical intestinal failure. Sepsis and enterocutaneous fistula(s).- 5 Mesenteric Ischemia.- 6 Crohn's Disease.- 7 Peritoneal adhesions and encapsulating peritoneal sclerosis.- 8 Care of Intestinal Stoma and Enterocutaneous Fistula(s).-9 Bone Marrow and Haemopoietic Stem Cell Transplantation (HSCT).- 10 Non-surgical cancer treatments.-11 Bacterial Overgrowth and Enteric Infections.- 12 Acute reversible intestinal failure - Extensive mucosal disease  - coeliac disease and eosinophilic enteritis.- 13 Home parenteral support for patients with incurable advance cancer.- 14 Intestinal failure in critical care.- 15 Eating Disorders in Adults.- 16 Intestinal failure in children – a paediatric surgical perspective.-17 Radiology in intestinal failure.-Part III Chronic IF.-18 Intestinal failure in childhood.- 19 Chronic Small Bowel Dysfunction.-20 Pelvic Radiation Disease & the GI tract.- 21 Problems after Gastric Surgery.- 22 Surgery for obesity and its consequences.- Part IV Consequences of IF 23 Physiology and problems of a short bowel.- 24 Consequences of Undernutrition and Dehydration.-25 Refeeding Problems/Syndrome.-26 Intestinal Failure Associated Liver Disease.-27 Acid-base disturbances in intestinal failure.- 28 Gallstones in Intestinal Failure.-29 Nephrolithiasis and nephrocalcinosis.- 30 Bone and joint disease.- 31 Intestinal adaptation.-Part V Treatment of IF.- 32 Assessment of nutritional and fluid status.-33 Insertion, types and care ofenteral feeding tubes.- 34 Access for parenteral nutrition.- 35 Nursing care of patients receiving home parenteral support.- 36 Designing Parenteral and Enteral Regimens.- 37 Formulation and administration of enteral feeds.- 38 Formulation of Parenteral Nutrition Regimens.-39 Psychological Aspects of Intestinal Failure.- 40 40 Management of a high output stoma, jejunotomy or uncomplicated enterocutaneous fistula.- 41 Dietary Treatment of Patients with a Short Bowel.- 42 Pro-adaptive hormones in the rehabilitation of adult SBS patients.- 43 Drug absorption in short bowel.- 44 Distal Feeding and Hydration.- 45 Chronic Abdominal Pain.- Part VI Outcome of IF.- 46 Home Enteral Nutrition (HEN) in Adults. Indications and outcomes.- 47 Outcome of Intestinal Failure: Home Parenteral Nutrition for Adults.- 48 Home enteral and parenteral nutrition for children.- 49 Quality of life in people receiving home parenteral support due to chronic intestinal failure.- 50 The Patient Requirements.51 Nutritional support services.- 52 Monitoring of parenteral nutrition at home.- 53 Ethical and legal aspects of nutritional support.- Part VII Problems of treatment.- 54 Problems of Enteral Nutrition.- 55 Prevention, Diagnosis and Management of Catheter-related blood stream infections.- 56 Central vein thrombosis.- Part VIII Surgical treatment of Chronic IF.-57 Surgery for patients with a short bowel and tissue engineering.- 58 Intestinal Transplantation.- 59 Abdominal Wall Repair in Intestinal Failure.- Part IX Pancreatitis.- 60 Intestinal dysfunction and failure in acute pancreatitis: cause, effect, prevention and treatment.- 61 Medical, nutritional and surgical management of chronic pancreatitis.

He trained in Gastroenterology under the guidance of Drs P Willoughby, WR Burnham, JF Mayberry, AC Wicks and BJ Rathbone. His nutritional training/research was with mainly with Professor JE Lennard-Jones though he also worked closely with Professors MA Kamm and MJG Farthing at St Mark’s Hospital.  He was awarded the Sir David Cuthbertson Medal by the Nutrition Society in 1993 for his work on the problems of a short bowel. He worked as a Consultant Gastroenterologist first at Leicester Royal Infirmary (1996-2006) where he set up a nutrition support team then at St Mark’s Hospital (2006 – 2017) where he worked within a national intestinal failure unit. He was the British Society of Gastroenterology representative on the NICE (National Institute for Health and Clinical Excellence) committee for “Nutritional Support in Adults: oral supplements, enteral and parenteral feeding”.  In 2006 he was the first author on the British Society of Gastroenterology (BSG) guidelines onthe management of patients with a short bowel. In 2020 he was first author on the BSG guidelines on “The management of adult patients with severe chronic small intestinal dysmotility”.   He has been involved with writing the undergraduate and postgraduate curricula for nutritional training. He has been the chairman of the British Intestinal Failure Alliance (BIFA) since 2014. He is the chairman of the independent charity “The Nightingale Trust for Nutritional Support (1109586)”. He is President of the Coloproctology Section of the Royal Society of Medicine for 2022-3.  He currently works part time in Intestinal failure at the University Hospitals Coventry and Warwickshire NHS Trust. In 2020 he was awarded the John Lennard-Jones Medal by BAPEN for “outstanding work in Clinical Nutrition”. He keeps llamas and is a keen tennis/croquet player.