慢性肠衰竭的诊断与营养管理

The diagnosis and nutritional management of chronic intestinal failure

慢性肠衰竭是一类以长期宏量营养素和(或)水和电解质肠道吸收功能障碍为核心的临床危重疾病, 具有临床表现、治疗及预后的异质性, 往往需要多学科的综合管理。文章综述了目前对于慢性肠衰竭定义的认识, 并以短肠综合征为重点阐述了目前对此类疾病的营养管理原则, 以期促进慢性肠衰竭在我国的合理临床诊治。

Chronic intestinal failure represents a long-lasting condition of intestinal dysfunction that contributes to inadequate absorption of macronutrients and/or water and electrolytes. It is heterogeneous in clinical manifestation, intervention and prognosis, and usually requires multi-disciplinary management. This review elucidates the state-of-the-art consensus on diagnosis and definition in chronic intestinal failure and exemplifies relevant nutritional management principles with interventions in short bowel syndrome, in hopes of improving the identification and management of chronic intestinal failure in domestic practice.