{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:11:12Z","timestamp":1762506672864,"version":"build-2065373602"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T00:00:00Z","timestamp":1445299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T00:00:00Z","timestamp":1445299200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Danish Medical Association Research Foundation"},{"name":"The John and Birthe Meyer Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p><jats:italic>Background\/Aims:<\/jats:italic> The objective of this study was to describe a clinically well\u2010defined, single\u2010center, intestinal failure (IF) cohort based on a template of definitions and classifications endorsed by the European Society for Clinical Nutrition and Metabolism (ESPEN). <jats:italic>Methods:<\/jats:italic> A cross\u2010sectional, retrospective, adult IF cohort, receiving parenteral support (PS), was extracted from the Copenhagen IF database at the tertiary IF center, Copenhagen University Hospital, Rigshospitalet, Denmark. <jats:italic>Results:<\/jats:italic> Rigshospitalet provided PS to 188 adult patients with IF on December 31, 2011. Six patients received only fluids and electrolytes, while 97% required parenteral energy (17 \u00b1 12 kcal\/kg\/d). Although 92% of the cohort had undergone intestinal resection, only 53% were classified as patients with short bowel syndrome (SBS) according to the pathophysiological classification. In the remaining cohort, patients were distributed as 5% with intestinal fistula, 12% with intestinal dysmotility, 5% with mechanical obstruction, and 14% with mucosal diseases. Twelve percent had a combination of pathophysiological causes. The patients with SBS (n = 100) were subdivided according to bowel anatomy into group 1 (jejuno\/ileostomy, n = 82), group 2 (jejuno\u2010colonic\u2010anastomosis, n = 16), and group 3 (jejuno\u2010ileo\u2010colonic\u2010anastomosis, n = 2). When evaluating the cohort requirements for PS using the ESPEN chronic IF classification based on the need for fluid volume and energy, 53% of the patients with IF were distributed in the maximum categories. <jats:italic>Conclusion:<\/jats:italic> The orphan condition of IF with its large patient heterogeneity mandates establishment of uniform definitions and a harmonization of classifications. As illustrated, the ESPEN\u2010endorsed definitions and classifications are well designed and may serve as a common uniform template to facilitate both intra\u2010 and intercenter comparisons between reference centers and thus outcome results.<\/jats:p>","DOI":"10.1177\/0148607115612040","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T23:03:23Z","timestamp":1445382203000},"page":"566-574","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Single\u2010Center, Adult Chronic Intestinal Failure Cohort Analyzed According to the ESPEN\u2010Endorsed Recommendations, Definitions, and Classifications"],"prefix":"10.1002","volume":"41","author":[{"given":"Christopher Filtenborg","family":"Brandt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siri","family":"Tribler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Hvistendahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Staun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per","family":"Br\u00f8bech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palle Bekker","family":"Jeppesen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,20]]},"reference":[{"first-page":"219","volume-title":"Nutrition and the surgical patient","author":"Fleming CR","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.08.017"},{"first-page":"216","volume-title":"Practical Handbook of Nutrition in Clinical Practice","author":"Dudrick SJ","key":"e_1_2_9_4_1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(73)90131-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/40.1.168"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(02)80034-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2006.02941.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665111000504"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2459-y"},{"key":"e_1_2_9_11_1","unstructured":"NHS National Commissioning Group for Highly Specialised Services.Strategic framework for intestinal failure and home parenteral nutrition services for adults in England.2008.http:\/\/www.specialisedservices.nhs.uk\/library\/28\/Strategic_Framework_for_Intestinal_Failure_and_Home_Parenteral_Nutrition_Services_for_Adults_in_England_1.pdf. 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