Characteristics of adult patients with chronic intestinal failure due to short bowel syndrome: An international multicenter survey.
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Pironi Loris, Steiger Ezra, Joly Francisca, Jeppesen Palle B, Wanten Geert, Sasdelli Anna S, Chambrier Cecile, Aimasso Umberto, Mundi Manpreet S, Szczepanek Kinga, Jukes Amelia, Theilla Miriam, Kunecki Marek, Daniels Joanne, Serlie Mireille, Poullenot Florian, Cooper Sheldon C, Rasmussen Henrik H, Compher Charlene, Seguy David, Crivelli Adriana, Santarpia Lidia, Guglielmi Francesco W, Kozjek Nada Rotovnik, Schneider Stéphane M, Ellegard Lars, Thibault Ronan, Matras Przemysław, Matysiak Konrad, Van Gossum Andrè, Forbes Alastair, Wyer Nicola, Taus Marina, Virgili Nuria M, O'Callaghan Margie, Chapman Brooke, Osland Emma, Cuerda Cristina, Udvarhelyi Gábor, Jones Lynn, Won Lee Andre D, Masconale Luisa, Orlandoni Paolo, Spaggiari Corrado, Díez Marta Bueno, Doitchinova-Simeonova Maryana, Serralde-Zúñiga Aurora E, Olveira Gabriel, Krznaric Zeljko, Czako Laszlo, Kekstas Gintautas, Sanz-Paris Alejandro, Jáuregui Mª Estrella Petrina, Murillo Ana Zugasti, Schafer Eszter, Arends Jann, Suárez-Llanos José P, Youssef Nader N, Brillanti Giorgia, Nardi Elena, Lal Simon, Home Artificial Nutrition and Chronic Intestinal Failure Special Interest Group of ESPEN, European Society for Clinical Nutrition and Metabolism
Аннотация
METHODS: The study included 1880 adult SBS-IF patients collected in 2015 by 65 centres from 22 countries. The demographic, nutritional, SBS type (end jejunostomy, SBS-J; jejuno-colic anastomosis, SBS-JC; jejunoileal anastomosis with an intact colon and ileocecal valve, SBS-JIC), underlying disease and intravenous supplementation (IVS) characteristics were analyzed. IVS was classified as fluid and electrolyte alone (FE) or parenteral nutrition admixture (PN). The mean daily IVS volume, calculated on a weekly basis, was categorized as <1, 1-2, 2-3 and >3 L/day.
RESULTS: In the entire group: 60.7% were females and SBS-J comprised 60% of cases, while mesenteric ischaemia (MI) and Crohn' disease (CD) were the main underlying diseases. IVS dependency was longer than 3 years in around 50% of cases; IVS was infused ≥5 days/week in 75% and FE in 10% of cases. Within the SBS-IF cohort: CD was twice and thrice more frequent in SBS-J than SBS-JC and SBS-JIC, respectively, while MI was more frequent in SBS-JC and SBS-JIC. Within countries: SBS-J represented 75% or more of patients in UK and Denmark and 50-60% in the other countries, except Poland where SBS-JC prevailed. CD was the main underlying disease in UK, USA, Denmark and The Netherlands, while MI prevailed in France, Italy and Poland.
CONCLUSIONS: SBS-IF type is primarily determined by the underlying disease, with significant variation between countries. These novel data will be useful for planning and managing both clinical activity and research studies on SBS.