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Central Line Management and Intestinal Failure

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  • First Online:
Contemporary Pancreas and Small Bowel Transplantation

Part of the book series: Organ and Tissue Transplantation ((OTT))

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Abstract

Intestinal failure (IF) arises when the gut function is below the minimum required for absorption of macronutrients, water, and electrolytes, and intravenous supplementation is needed to maintain homeostasis. Central venous access (CVA) is required in both acute and chronic forms of the condition. The preservation of venous access and the management of catheter-related complications are important determinants of long-term survival in those who suffer chronic intestinal failure. For optimal CVA outcomes, patients should be managed at IF centers of excellence by multidisciplinary teams that include interventional radiologists. CVA management should include evidence-based protocols implemented by trained staff and close monitoring of outcomes to ensure safety and efficacy.

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Authors and Affiliations

  1. Division of Interventional Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Colette Shaw

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  1. Colette Shaw
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Correspondence to Colette Shaw .

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  1. Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA

    Ashesh Piyush Shah

  2. Capital Health Cancer Center, Pennington, NJ, USA

    Cataldo Doria

  3. Porter Adventist Hosptial, Denver, CO, USA

    James W. Lim

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Shaw, C. (2019). Central Line Management and Intestinal Failure. In: Shah, A., Doria, C., Lim, J. (eds) Contemporary Pancreas and Small Bowel Transplantation . Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-05257-1_3

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