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Canadian Journal of Gastroenterology and Hepatology
Volume 2016, Article ID 9132134, 6 pages
http://dx.doi.org/10.1155/2016/9132134
Research Article

Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team

1Department of Pediatrics, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, Canada H4A 3J1
2Department of Pediatrics, Division of Gastroenterology and Nutrition, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, Canada H4A 3J1

Received 22 January 2015; Accepted 9 May 2015

Copyright © 2016 Sabrina Furtado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team). We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart review of patients with intestinal failure over a 6-year period was performed. Outcomes of patients followed up by INFANT (2010–2012) were compared to a historical cohort (2007–2009). Results. Twenty-eight patients with intestinal failure were followed up by INFANT while the historical cohort was formed by 27 patients. There was no difference between the groups regarding remaining length of small and large bowel, presence of ICV, or number of infants who reached full enteral feeds. Patients followed up by INFANT took longer to attain full enteral feeds and had longer duration of PN, probably reflecting more complex cases. Overall mortality (14.8%/7.1%) was lower than other centers, probably illustrating our population of “early” intestinal failure patients. Conclusions. Our data demonstrates that the creation and implementation of a multidisciplinary program in a tertiary center without an intestinal and liver transplant program can lead to improvement in many aspects of their care.