An interactive discussion about intestinal failure between Todd Ponsky, MD and Brad Warner, MD.
Dr. Warner is the Jessie L. Ternberg, MD, PhD Distinguished Professor of Pediatric Surgery at Washington University School of Medicine and surgeon-in-chief for St. Louis Children’s Hospital in St. Louis, Missouri.
Table of Contents
00:00 - Introduction
01:39 - What is intestinal failure?
02:50 - Required bowel length
05:39 - Nature history of short gut
07:07 - Mortality in intestinal failure
07:39 - Small bowel transplant candidacy
09:15 - Causes of short gut
09:42 - Medical management of short gut syndrome
12:40 - Primary prevention of TPN cholestasis
16:15 - Summary of medical management
18:03 - Importance of breast milk
19:19 - Formula selection
20:13 - Management of volume administered
21:47 - Surgical management of intestinal failure
24:21 - Surgical evaluation
27:26 - Surgical options
28:47 - Bowel lengthening procedures
29:59 - Bianchi procedure
31:45 - STEP procedure
36:07 - Bianchi procedure pearls
38:10 - Role of tapering
38:43 - Secondary prevention of TPN cholestasis
40:16 - Medical management of intestinal bacterial overgrowth
43:39 - Role of growth factors
46:34 - Intestinal transplant
49:33 - Management of central line-associated infections
50:06 - Intestinal transplant as last resort
Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: creativecommons.org/licenses/by/3.0/
