Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran

Autores
Nikoupour, Hamed; Arasteh, Peyman; Shamsaeefar, Alireza; Shafiekhani, Mojtaba; Moradi, Ali Mohammad; Karami, Mohammad Yasin; Eghlimi, Hesameddin; Gondolesi, Gabriel Eduardo; Nikeghbalian, Saman
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Intestinal failure (IF) is a life-threatening medical condition. The management of IF in low- and middle-income countries without home parenteral nutrition (HPN) remains unclear. We recently established an intestinal rehabilitation unit (IRU) and aimed to provide our experience on the current management and outcomes of IF in Iran. Methods: In this cross-sectional case series, data were collected from an established database on IF in the Shiraz Transplant Center in Abu Ali Sina hospital, affiliated to Shiraz University of Medical Sciences, Iran from January 2018 to October 2018. Results: Overall, 30 patients with a mean age of 44.13 ± 10.32 years, which included 25 males, were recruited. Short bowel syndrome (SBS) (60%) and enterocutaneous fistulae (27%), as complication of previous surgeries, were the main causes of IF. The most common type of IF was type 3 (67 %). Mesenteric ischemia was the leading mechanism of IF (47%). Fifteen patients (50%) received autologous gastrointestinal reconstruction surgery (AGIRS), and two (7%) patients had serial transverse enteroplasty (STEP). At the end of follow-up, 15 patients recovered from IF (50%). The overall survival rate was 83.3%. Conclusion: This series introduced the results of a multidisciplinary program for the treatment of IF in a middle-income country that lacks facilities for HPN. Our protocol of care, understanding the need for development of HPN, showed promising clinical outcomes.
Fil: Nikoupour, Hamed. Transplant Research Center; Irán
Fil: Arasteh, Peyman. Transplant Research Center; Irán
Fil: Shamsaeefar, Alireza. Transplant Research Center; Irán
Fil: Shafiekhani, Mojtaba. Transplant Research Center; Irán
Fil: Moradi, Ali Mohammad. Transplant Research Center; Irán
Fil: Karami, Mohammad Yasin. Transplant Research Center; Irán
Fil: Eghlimi, Hesameddin. Transplant Research Center; Irán
Fil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Fil: Nikeghbalian, Saman. Transplant Research Center; Irán
Materia
HOME PARENTERAL NUTRITION
INTESTINAL FAILURE
INTESTINAL TRANSPLANT
IRAN
MIDDLE EAST
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/181469
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/181469
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in IranNikoupour, HamedArasteh, PeymanShamsaeefar, AlirezaShafiekhani, MojtabaMoradi, Ali MohammadKarami, Mohammad YasinEghlimi, HesameddinGondolesi, Gabriel EduardoNikeghbalian, SamanHOME PARENTERAL NUTRITIONINTESTINAL FAILUREINTESTINAL TRANSPLANTIRANMIDDLE EASThttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background: Intestinal failure (IF) is a life-threatening medical condition. The management of IF in low- and middle-income countries without home parenteral nutrition (HPN) remains unclear. We recently established an intestinal rehabilitation unit (IRU) and aimed to provide our experience on the current management and outcomes of IF in Iran. Methods: In this cross-sectional case series, data were collected from an established database on IF in the Shiraz Transplant Center in Abu Ali Sina hospital, affiliated to Shiraz University of Medical Sciences, Iran from January 2018 to October 2018. Results: Overall, 30 patients with a mean age of 44.13 ± 10.32 years, which included 25 males, were recruited. Short bowel syndrome (SBS) (60%) and enterocutaneous fistulae (27%), as complication of previous surgeries, were the main causes of IF. The most common type of IF was type 3 (67 %). Mesenteric ischemia was the leading mechanism of IF (47%). Fifteen patients (50%) received autologous gastrointestinal reconstruction surgery (AGIRS), and two (7%) patients had serial transverse enteroplasty (STEP). At the end of follow-up, 15 patients recovered from IF (50%). The overall survival rate was 83.3%. Conclusion: This series introduced the results of a multidisciplinary program for the treatment of IF in a middle-income country that lacks facilities for HPN. Our protocol of care, understanding the need for development of HPN, showed promising clinical outcomes.Fil: Nikoupour, Hamed. Transplant Research Center; IránFil: Arasteh, Peyman. Transplant Research Center; IránFil: Shamsaeefar, Alireza. Transplant Research Center; IránFil: Shafiekhani, Mojtaba. Transplant Research Center; IránFil: Moradi, Ali Mohammad. Transplant Research Center; IránFil: Karami, Mohammad Yasin. Transplant Research Center; IránFil: Eghlimi, Hesameddin. Transplant Research Center; IránFil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; ArgentinaFil: Nikeghbalian, Saman. Transplant Research Center; IránAcad Medical Sciences I R Iran2021-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/181469Nikoupour, Hamed; Arasteh, Peyman; Shamsaeefar, Alireza; Shafiekhani, Mojtaba; Moradi, Ali Mohammad; et al.; Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran; Acad Medical Sciences I R Iran; Archives Of Iranian Medicine; 34; 4; 5-2021; 289-2951029-2977CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.34172/AIM.2021.40info:eu-repo/semantics/altIdentifier/url/http://www.aimjournal.ir/Article/aim-13734info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:42:12Zoai:ri.conicet.gov.ar:11336/181469instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:42:12.491CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
title Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
spellingShingle Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
Nikoupour, Hamed
HOME PARENTERAL NUTRITION
INTESTINAL FAILURE
INTESTINAL TRANSPLANT
IRAN
MIDDLE EAST
title_short Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
title_full Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
title_fullStr Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
title_full_unstemmed Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
title_sort Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran
dc.creator.none.fl_str_mv Nikoupour, Hamed
Arasteh, Peyman
Shamsaeefar, Alireza
Shafiekhani, Mojtaba
Moradi, Ali Mohammad
Karami, Mohammad Yasin
Eghlimi, Hesameddin
Gondolesi, Gabriel Eduardo
Nikeghbalian, Saman
author Nikoupour, Hamed
author_facet Nikoupour, Hamed
Arasteh, Peyman
Shamsaeefar, Alireza
Shafiekhani, Mojtaba
Moradi, Ali Mohammad
Karami, Mohammad Yasin
Eghlimi, Hesameddin
Gondolesi, Gabriel Eduardo
Nikeghbalian, Saman
author_role author
author2 Arasteh, Peyman
Shamsaeefar, Alireza
Shafiekhani, Mojtaba
Moradi, Ali Mohammad
Karami, Mohammad Yasin
Eghlimi, Hesameddin
Gondolesi, Gabriel Eduardo
Nikeghbalian, Saman
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv HOME PARENTERAL NUTRITION
INTESTINAL FAILURE
INTESTINAL TRANSPLANT
IRAN
MIDDLE EAST
topic HOME PARENTERAL NUTRITION
INTESTINAL FAILURE
INTESTINAL TRANSPLANT
IRAN
MIDDLE EAST
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Intestinal failure (IF) is a life-threatening medical condition. The management of IF in low- and middle-income countries without home parenteral nutrition (HPN) remains unclear. We recently established an intestinal rehabilitation unit (IRU) and aimed to provide our experience on the current management and outcomes of IF in Iran. Methods: In this cross-sectional case series, data were collected from an established database on IF in the Shiraz Transplant Center in Abu Ali Sina hospital, affiliated to Shiraz University of Medical Sciences, Iran from January 2018 to October 2018. Results: Overall, 30 patients with a mean age of 44.13 ± 10.32 years, which included 25 males, were recruited. Short bowel syndrome (SBS) (60%) and enterocutaneous fistulae (27%), as complication of previous surgeries, were the main causes of IF. The most common type of IF was type 3 (67 %). Mesenteric ischemia was the leading mechanism of IF (47%). Fifteen patients (50%) received autologous gastrointestinal reconstruction surgery (AGIRS), and two (7%) patients had serial transverse enteroplasty (STEP). At the end of follow-up, 15 patients recovered from IF (50%). The overall survival rate was 83.3%. Conclusion: This series introduced the results of a multidisciplinary program for the treatment of IF in a middle-income country that lacks facilities for HPN. Our protocol of care, understanding the need for development of HPN, showed promising clinical outcomes.
Fil: Nikoupour, Hamed. Transplant Research Center; Irán
Fil: Arasteh, Peyman. Transplant Research Center; Irán
Fil: Shamsaeefar, Alireza. Transplant Research Center; Irán
Fil: Shafiekhani, Mojtaba. Transplant Research Center; Irán
Fil: Moradi, Ali Mohammad. Transplant Research Center; Irán
Fil: Karami, Mohammad Yasin. Transplant Research Center; Irán
Fil: Eghlimi, Hesameddin. Transplant Research Center; Irán
Fil: Gondolesi, Gabriel Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional, Trasplante y Bioingeniería. Fundación Favaloro. Instituto de Medicina Traslacional, Trasplante y Bioingeniería; Argentina
Fil: Nikeghbalian, Saman. Transplant Research Center; Irán
description Background: Intestinal failure (IF) is a life-threatening medical condition. The management of IF in low- and middle-income countries without home parenteral nutrition (HPN) remains unclear. We recently established an intestinal rehabilitation unit (IRU) and aimed to provide our experience on the current management and outcomes of IF in Iran. Methods: In this cross-sectional case series, data were collected from an established database on IF in the Shiraz Transplant Center in Abu Ali Sina hospital, affiliated to Shiraz University of Medical Sciences, Iran from January 2018 to October 2018. Results: Overall, 30 patients with a mean age of 44.13 ± 10.32 years, which included 25 males, were recruited. Short bowel syndrome (SBS) (60%) and enterocutaneous fistulae (27%), as complication of previous surgeries, were the main causes of IF. The most common type of IF was type 3 (67 %). Mesenteric ischemia was the leading mechanism of IF (47%). Fifteen patients (50%) received autologous gastrointestinal reconstruction surgery (AGIRS), and two (7%) patients had serial transverse enteroplasty (STEP). At the end of follow-up, 15 patients recovered from IF (50%). The overall survival rate was 83.3%. Conclusion: This series introduced the results of a multidisciplinary program for the treatment of IF in a middle-income country that lacks facilities for HPN. Our protocol of care, understanding the need for development of HPN, showed promising clinical outcomes.
publishDate 2021
dc.date.none.fl_str_mv 2021-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/181469
Nikoupour, Hamed; Arasteh, Peyman; Shamsaeefar, Alireza; Shafiekhani, Mojtaba; Moradi, Ali Mohammad; et al.; Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran; Acad Medical Sciences I R Iran; Archives Of Iranian Medicine; 34; 4; 5-2021; 289-295
1029-2977
CONICET Digital
CONICET
url http://hdl.handle.net/11336/181469
identifier_str_mv Nikoupour, Hamed; Arasteh, Peyman; Shamsaeefar, Alireza; Shafiekhani, Mojtaba; Moradi, Ali Mohammad; et al.; Surgical management of intestinal failure; Initial experiences from an intestinal failure, rehabilitation and transplant unit in Iran; Acad Medical Sciences I R Iran; Archives Of Iranian Medicine; 34; 4; 5-2021; 289-295
1029-2977
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.34172/AIM.2021.40
info:eu-repo/semantics/altIdentifier/url/http://www.aimjournal.ir/Article/aim-13734
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Acad Medical Sciences I R Iran
publisher.none.fl_str_mv Acad Medical Sciences I R Iran
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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