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Chapter 1.4 - Gastrointestinal

from Section 1 - Medicine

Published online by Cambridge University Press:  26 May 2025

Rebecca Leslie
Affiliation:
Royal United Hospitals NHS Foundation Trust, Bath
Emily Johnson
Affiliation:
Worcester Acute Hospitals NHS Trust, Worcester
Gary Thomas
Affiliation:
Cwm Taf Morgannwg University Health Board, Bridgend
Philip Harrington
Affiliation:
West Midlands Deanery, Birmingham
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Summary

A 55-year-old man requires admission to intensive care following deterioration with multiple organ failure from acute pancreatitis. He requires mechanical ventilation due to increasing oxygen requirements. A nasogastric tube is inserted to facilitate feeding.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Bratanow, S, Brown, S. Nutrition in the critically Ill. Update in Anaesthesia. Available from https://resources.wfsahq.org/wp-content/uploads/uia28-Nutrition-in-the-critically-ill.pdf (Accessed 30 December 2022).Google Scholar
Chowdhury, R, Lobaz, S. Nutrition in critical care. British Journal of Anaesthesia Education. 2019; 19(3): 9095.Google ScholarPubMed
Macdonald, K, Page, K, Brown, L, Bryden, D. Parenteral nutrition in critical care. Continuing Education in Anaesthesia, Critical Care and Pain. 2013; 13(1): 15.CrossRefGoogle Scholar
NHS Improvement. Initial placement checks for nasogastric and orogastric tubes. Available from: www.england.nhs.uk/wp-content/uploads/2016/07/Resource_set_-_Initial_placement_checks_for_NG_tubes_1.pdf (Accessed 30 December 2022).Google Scholar
Piton, G, Gouge, AL, Boisramé-Helms, J, Anguel, N, Argaud, L, Asfar, P, et al. Factors associated with acute mesenteric ischemia among critically ill ventilated patients with shock: A post hoc analysis of the NUTRIREA2 trial. Intensive Care Medicine. 2022; 48(4): 458466.CrossRefGoogle Scholar

Further Reading

Bratanow, S, Brown, S. Nutrition in the critically Ill. Update in Anaesthesia. Available from https://resources.wfsahq.org/wp-content/uploads/uia28-Nutrition-in-the-critically-ill.pdf (Accessed 30 December 2022)Google Scholar
Chowdhury, R, Lobaz, S. Nutrition in critical care. British Journal of Anaesthesia Education. 2019; 19(3):9095.Google ScholarPubMed
Edwards, S. Anaesthetising the malnourished patient. Update in Anaesthesia. 2016; 31:3137. Available from https://resources.wfsahq.org/wp-content/uploads/uia31-Anaesthetising-the-malnourished-patient.pdf (Accessed 20 December 2022).Google Scholar
Gillis, C, Wischmeyer, PE. Pre-operative nutrition and the elective surgical patient: Why, how and what? Anaesthesia. 2019; 74: 2735.CrossRefGoogle Scholar
National Collaborating Centre for Acute Care. Nutrition support in adults. Oral nutrition support, enteral tube feeding and parenteral nutrition. February 2006. Available from www.nice.org.uk/guidance/cg32/evidence/full-guideline-194889853 (Accessed 21 December 2022).Google Scholar

Further Reading

Banks, P, Bollen, T, Dervenis, C, et al. Classification of acute pancreatitis – 2012: Revision of the Atlanta classification and definitions by international consensus. Gut. 2013; 62: 102111.CrossRefGoogle ScholarPubMed
Crockett, S, Wani, S, Gardner, T, Falck-Ytter, Y, Barkun, A. American Gastroenterological Associated Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology. 2018; 154: 10961101.CrossRefGoogle ScholarPubMed
Gomes, C, Di Saverio, S, Sartelli, M et al. Severe acute pancreatitis: Eight fundamental steps revised according to the ‘PANCREAS’ acronym. Annals of the Royal College of Surgeons of England. 2020; 102: 555559.CrossRefGoogle Scholar
National Confidential Enquiry into Patient Outcome and Death. Acute pancreatitis: Treat the cause. 2016. www.ncepod.org.uk/2016ap.html accessed 22 August 2022.Google Scholar
National Institute for Health and Care Excellence National Guideline 104: Pancreatitis. www.nice.org.uk/guidance/ng104 accessed 22 August 2022.Google Scholar
Trikudanathan, G, Wolbrink, D, van Santvoort, H, Mallery, S, Freeman, M, Besselink, M. Current concepts in severe acute and necrotizing pancreatitis: An evidence-based approach. Gastroenterology. 2019; 156: 19942007.CrossRefGoogle ScholarPubMed

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  • Gastrointestinal
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.005
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Gastrointestinal
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.005
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Gastrointestinal
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.005
Available formats
×