Affiliation: Cleveland Clinic Foundation
- Dysfunction and thrombotic complications of vascular access devicesEzra Steiger
General Surgery, Head, Intestinal Rehabilitation Program, Nutrition Support and Vascular Access Department, Cleveland Clinic Foundation, Cleveland, Ohio, USA
JPEN J Parenter Enteral Nutr 30:S70-2. 2006..Catheter-associated thrombosis can be life threatening and limit future vascular sites. Both of these complications can be minimized and treated by proper catheter placement and being aware of preventative and therapeutic measures...
- Consensus statements regarding optimal management of home parenteral nutrition (HPN) accessEzra Steiger
Intestinal Rehabilitation Program, Nutrition Support and Vascular Access Department, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
JPEN J Parenter Enteral Nutr 30:S94-5. 2006
- Jonathan E Rhoads lecture: experiences and observations in the management of patients with short bowel syndromeEzra Steiger
Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
JPEN J Parenter Enteral Nutr 31:326-33. 2007..This article presents the author's experiences and observations after a 4-decade experience in the management of patients with short bowel syndrome...
- Short bowel syndromeNeha R Parekh
Ezra Steiger, MD Intestinal Rehabilitation Program, Cleveland Clinic, 9500 Euclid Avenue, Desk A80, Cleveland, OH 44195, USA
Curr Treat Options Gastroenterol 10:10-23. 2007..The gradual refinement of surgical procedures for SBS, including small bowel transplantation, has led to improved outcomes, and early referral of SBS patients to centers of excellence will optimize care...
- Guidelines for pharmacotherapy, nutritional management, and weaning parenteral nutrition in adult patients with short bowel syndrome: introductionEzra Steiger
Intestinal Rehabilitation Program, Nutrition Support and Vascular Access Department, Department of General Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Clin Gastroenterol 40:S73-4. 2006..Their presentations and discussions generated a set of guidelines for the management of these challenging cases...
- Indications and recommendations for the use of recombinant human growth hormone in adult short bowel syndrome patients dependent on parenteral nutritionEzra Steiger
Intestinal Rehabilitation Program, Nutrition Support and Vascular Access Department, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Clin Gastroenterol 40:S99-106. 2006..If this is unsuccessful, it is recommended that patients be treated with an r-hGH regimen or participate in investigational studies using other trophic factors...
- Minding your Ps and Qs in specialized nutrition supportEzra Steiger
General Surgery, Deck A-80, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Nutr Clin Pract 22:591-2. 2007
- Intestinal failure management at the Cleveland ClinicAbdullah Shatnawei
Desk A100 Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA
Arch Surg 145:521-7. 2010..In selected patients, a program of intestinal rehabilitation may avoid the need for long-term parenteral nutrition...
- Hypocaloric home parenteral nutrition and nutrition parameters in patients following bariatric surgeryCynthia Hamilton
Center for Human Nutrition, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Nutr Clin Pract 26:577-82. 2011..No studies have been published on patients receiving HPN following BSP complications. The study aim was to determine if hypocaloric HPN has an effect on body mass index (BMI), albumin, and HPN complications...
- The multidisciplinary approach to the care of patients with intestinal failure at a tertiary care facilityKristen M Rhoda
Cleveland Clinic, Cleveland OH 44195, USA
Nutr Clin Pract 25:183-91. 2010..In this review, therapies available for intestinal failure and the use of a multidisciplinary approach to the patient with intestinal failure will be reviewed...
- Ethanol lock therapy in reducing catheter-related bloodstream infections in adult home parenteral nutrition patients: results of a retrospective studyBijo K John
Digestive Diseases Institute, Cleveland Clinic, Cleveland, Ohio, USA
JPEN J Parenter Enteral Nutr 36:603-10. 2012..The objective of this study is to investigate the efficacy of ELT in reducing the incidence of CRBSIs in HPN patients...
- Examination of factors that lead to complications for new home parenteral nutrition patientsLori Jeris de Burgoa
Nutrition Support and Vascular Access Department, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Infus Nurs 29:74-80. 2006..The authors describe their methods of collecting data in a quantifiable manner with the ultimate goal of improving patient outcomes...
- Tip position of long-term central venous access devices used for parenteral nutritionRobert DeChicco
Nutrition Support Team, Cleveland Clinic, Cleveland, Ohio 44145, USA
JPEN J Parenter Enteral Nutr 31:382-7. 2007..The purpose of this study is to determine the prevalence of improper central VAD tip position and factors associated with malpositioning...
- Type and prevalence of adverse events during the parenteral nutrition cycling process in patients being prepared for dischargeSreenija Suryadevara
Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Nutr Clin Pract 27:268-73. 2012..The mechanism for cycling parenteral nutrition (PN) varies from institution to institution. However, the types and frequency of adverse events (AEs) involved with this process are not well understood...
- Criteria for the use of recombinant human growth hormone in short bowel syndromeNeha R Parekh
Intestinal Rehabilitation Program, Cleveland Clinic Foundation, 9500 Euclid Avenue, A80, Cleveland, OH 44195, USA
Nutr Clin Pract 20:503-8. 2005..Analysis of the trials has produced a set of criteria that can be used to define the patient most likely to benefit from r-hGH therapy...
- Use of home parenteral nutrition in patients with intra-abdominal desmoid tumorsAbdullah Shatnawei
Center of Human Nutrition Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Avenue A51, Cleveland, OH 44195, USA
Nutr Clin Pract 25:290-5. 2010..HPN outcomes in patients with IAD tumors have not been previously reported. The aim of this study was to compare some of the nutrition parameters and complications of HPN in patients with IAD with a control group of patients on HPN...
- Growth hormone, glutamine, and modified diet for intestinal adaptationLaura E Matarese
Nutrition Intestinal Rehabilitation, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Am Diet Assoc 104:1265-72. 2004..The analysis suggests administering recombinant human growth hormone alone or together with glutamine with or without a modified diet may be of benefit when the appropriate patients are selected for treatment...
- Identification and early treatment of dehydration in home parenteral nutrition and home intravenous fluid patients prevents hospital admissionsDenise Konrad
Home Nutrition Support, Cleveland Clinic, 9500 Euclid Avenue TT2, Cleveland, Ohio 44195, USA
Nutr Clin Pract 27:802-7. 2012..Our home nutrition support service (HNS) developed a protocol in 2010 to provide additional bags of HIVF to be kept on hand for immediate use in patients identified at risk of developing dehydration...
- Liver failure is uncommon in adults receiving long-term parenteral nutritionRichard Salvino
Department of Nutrition Support and Vascular Access, Cleveland Clinic Foundation, Cleveland, Ohio, USA
JPEN J Parenter Enteral Nutr 30:202-8. 2006..CONCLUSIONS: When long-term PN is given with a modest amount of total energy and a minimal amount of lipid emulsion, abnormal liver enzymes are common, but severe liver dysfunction is unusual...
- Mortality of intra-abdominal desmoid tumors in patients with familial adenomatous polyposis: a single center review of 154 patientsCristiano Quintini
Department of Hepato pancreato biliary and Transplant Surgery, Digestive Disease Institute, Cleveland, Ohio, USA
Ann Surg 255:511-6. 2012..The aim of this study was to evaluate the mortality rate of patients with intra-abdominal desmoid tumors and to identify prognostic factors for the evolution of the disease...
- Body composition changes in cachectic patients receiving home parenteral nutritionLaura E Matarese
Department of General Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
JPEN J Parenter Enteral Nutr 26:366-71. 2002..The purpose of this study was to evaluate the initial body compositional changes experienced by malnourished patients requiring home parenteral nutrition (HPN) for repletion...
- Home parenteral nutrition support for intestinal failureKristen M Rhoda
Intestinal Rehabilitation and Transplant, Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Avenue A100, Cleveland, OH 44195, USA
Surg Clin North Am 91:913-32, ix-x. 2011..A multidisciplined, integrated nutrition support team can allow patients with intestinal failure who need home parenteral nutrition maintain a near-normal life...
- Managing short bowel syndrome: making the most of what the patient still hasNeha Parekh
Intestinal Rehabilitation Program, Department of Gastroenterology, The Cleveland Clinic Foundation OH 44195, USA
Cleve Clin J Med 72:833-8. 2005..The severity and management depend on the site and extent of the intestinal resection, whether the ileocecal valve remains, whether there is disease in the residual bowel, and the degree of adaptation of the remaining bowel...
- Obtaining and maintaining vascular access in the home parenteral nutrition patientEzra Steiger
Department of General Surgery, Cleveland Clinic Foundation, Ohio, USA
JPEN J Parenter Enteral Nutr 26:S17-20. 2002..The appropriate placement of long-term vascular access devices and their care and management should be familiar to all clinicians helping to manage these patients and will be discussed...
- Venous thrombosis associated with peripherally inserted central catheters: a retrospective analysis of the Cleveland Clinic experienceRoy F Chemaly
Department of Infectious Diseases, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA
Clin Infect Dis 34:1179-83. 2002..It may occur more frequently than previously recognized and may be complicated by pulmonary embolism. Clinicians should maintain a high index of suspicion, especially for high-risk patients...
- Treatment of adult short bowel syndrome with recombinant human growth hormone: a review of clinical studiesBernard Messing
Gastroenterology and Nutrition Support Department, Hopital Beaujon, Clichy, France
J Clin Gastroenterol 40:S75-84. 2006....
- Clinical trial of interactive and videotaped educational interventions reduce infection, reactive depression, and rehospitalizations for sepsis in patients on home parenteral nutritionCarol E Smith
University of Kansas Medical Center, Lenexa, USA
JPEN J Parenter Enteral Nutr 27:137-45. 2003..IEVI use also can result in fewer hospitalizations and improved quality of life. Long-term improvement did not occur for reactive depression and problem-solving outcomes because patients used these less often...
- Strategies for parenteral nutrition weaning in adult patients with short bowel syndromeJohn K DiBaise
Division of Gastroenterology and Hepatology, Mayo Clinic Scottsdale, Scottsdale, AZ 85259, USA
J Clin Gastroenterol 40:S94-8. 2006..Use of recombinant human growth hormone, with or without glutamine, may play a role in facilitating the PN weaning process...
- Collaborative strategies to reduce mortality and morbidity in patients with chronic intestinal failure including those who are referred for small bowel transplantationSue Beath
Department of Pediatrics, Birmingham Children s Hospital, Birmingham, UK
Transplantation 85:1378-84. 2008..The objective of this workshop was to identify the main problems contributing to high mortality in adults and children candidates for intestinal transplantation and provide recommendations on how to correct them...
- Dietary and medical management of short bowel syndrome in adult patientsLaura E Matarese
Intestinal Rehabilitation and Transplant Center, Thomas E Starzl Transplantation Institute, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
J Clin Gastroenterol 40:S85-93. 2006..Several medications provide a useful adjunctive function to dietary intervention, including antidiarrheal agents, H2 antagonists and proton pump inhibitors, pancreatic enzymes, somatostatin analogs, antimicrobials, and trophic factors...
- An evidence-based approach to optimal management of vascular and enteral access for home parenteral and enteral nutrition supportDavid August
Division of Surgical Oncology, UMDNJ/RWJMS and Cancer Institute, New Brunswick, New Jersey, USA
JPEN J Parenter Enteral Nutr 30:S5-6. 2006
- Practical guide to intestinal rehabilitation for postresection intestinal failure: a case studyLaura E Matarese
Intestinal Rehabilitation and Transplant Center, Thomas E Starzl Transplantation Institute, UPMC Montefiore, 7 South, 3459 Fifth Avenue, Pittsburgh, PA 15213, USA
Nutr Clin Pract 20:551-8. 2005..She continues not to receive IV fluids and continues to follow the intestinal rehabilitation plan...