Chronic intestinal failure: Medical treatment, home parenteral nutrition, training and monitoring.

Chronic intestinal failure (CIF) requires parenteral nutrition (PN) as its main treatment to sustain health. Short Bowel Syndrom (SBS) is its main cause. Medical management includes dietary approaches, anti-secretory and anti-motility drugs. Recently, GLP-2 analogs like teduglutide for selected patients have helped treated patient to reduce PN. A multidisciplinary nutritional support team (NSTs) is essential for HPN training, covering catheter care, complication prevention, and lifestyle adaptation to promote patients' autonomy. Monitoring protocols recommend 3 months-interval visits for stable patients, to assess clinical status, anthropometrics and biochemistry. Vitamins, trace elements, and HPN complications should be monitored annually or as needed.