Maintenance of intestinal barrier function in patients with chronic critical illness.
- Author:
Xiuwen WU
;
Jianan REN
1
;
Jieshou LI
Author Information
1. Department of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China. Jan@medmail.com.cn.
- Publication Type:Journal Article
- MeSH:
Chronic Disease;
Critical Care;
Critical Illness;
Defecation;
Gastrointestinal Diseases;
Humans;
Intestinal Mucosa;
Intestines;
Nutritional Support;
Probiotics
- From:
Chinese Journal of Gastrointestinal Surgery
2016;19(7):740-742
- CountryChina
- Language:Chinese
-
Abstract:
The syndrome known as chronic critical illness (CCI) is defined as that critically ill patients survive their initial acute illness but go on to experience persistent organ failures necessitating prolonged intensive care. Intestinal barrier is the physical barrier that separates the internal and external environments and prevents the invasion of pathogenic antigens. Due to its pathogenesis, many CCI patients have injured intestinal barrier. Gut is the motor organ of stress responses, and gut-associated infections may initiate multiple organ dysfunction. In this way, it is important to maintain intestinal barrier of such patients. Apart from treatment for underlying diseases, resuscitation aiming at improving tissue perfusion, appropriate nutritional support, protection of normal intestinal flora, and provision of probiotics can maintain intestinal barrier of CCI patients. The maintenance and support of barrier function requires attention.
