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All Journal World Nutrition Journal
Hardy, Gil
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Medicine & Pharmacology Public Health

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Nutrition management of intestinal failure: From neonates to the elderly Hardy, Gil; Ludlow, Emma
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0017

Abstract

Double enterostomies (DES) and necrotising enterocolitis (NEC) are prevalent in neonatal intensive care units (NICU), commonly resulting from surgical removal of diseased intestine. Sarcopenia prevalence is >40% in community dwelling elderly >65 yrs and is associated with poor nutritional status before/after abdominal surgery, with intestinal failure (IF) and high output stoma losses. Parenteral Nutrition (PN) is the standard of care for Type 2 IF patients with DES or enteroatmospheric fistulas (EAF), but risks catheter-related complications, infection, gut and hepatobiliary dysfunction. Chyme reinfusion therapy (CRT) is a recommended distal feeding technique that may minimise these risks.
A Human rights approach to clinical nutrition : addressing the challenges of disease-related malnutrition in resource limited settings Hardy, Gil; Sutanto, Luciana B
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.000i

Abstract

A human rights-based approach can be the cornerstone in the field of clinical nutrition. By endorsing the five principles of the Vienna Declaration, the global clinical nutrition network is developing initiatives and strategies for implementing programmes for improving awareness, advocacy, education, research and collaboration. The prevalence of disease-related malnutrition in hospitalized patients is higher in Asian resource limited countries than in Europe with unacceptably high nutrition risks in cancer, tuberculosis and intestinal failure in Indonesia. The international human rights working group has recommended practical steps involving evaluation of the applicability of the current international guidelines, and development of new resource-stratified guidelines followed by promotion and implementation.
Co-Authors Ludlow, Emma Sutanto, Luciana B