The gut as the motor of multiple organ dysfunction in critical illness

NJ Klingensmith, CM Coopersmith - Critical care clinics, 2016 - criticalcare.theclinics.com
The gut has been hypothesized to be the motor of multiple organ dysfunction syndrome
(MODS) for the past quarter century. 1–3 Whereas initial theories of gut and critical illness …

Gastrointestinal dysfunction in the critically ill: a systematic scoping review and research agenda proposed by the Section of Metabolism, Endocrinology and Nutrition …

A Reintam Blaser, JC Preiser, S Fruhwald, A Wilmer… - Critical care, 2020 - Springer
Background Gastrointestinal (GI) dysfunction is frequent in the critically ill but can be
overlooked as a result of the lack of standardization of the diagnostic and therapeutic …

[HTML][HTML] Development of the Gastrointestinal Dysfunction Score (GIDS) for critically ill patients–A prospective multicenter observational study (iSOFA study)

AR Blaser, M Padar, M Mändul, G Elke, C Engel… - Clinical nutrition, 2021 - Elsevier
Background & aims To develop a five grade score (0–4 points) for the assessment of
gastrointestinal (GI) dysfunction in adult critically ill patients. Methods This prospective …

Intestinal failure in adults: recommendations from the ESPEN expert groups

L Pironi, O Corcos, A Forbes, M Holst, F Joly, C Jonkers… - Clinical nutrition, 2018 - Elsevier
Background & aims Intestinal failure (IF) is defined as “the reduction of gut function below
the minimum necessary for the absorption of macronutrients and/or water and electrolytes …

Enteral feeding intolerance: updates in definitions and pathophysiology

A Reintam Blaser, AM Deane, JC Preiser… - Nutrition in clinical …, 2021 - Wiley Online Library
Enteral feeding intolerance (EFI) is a common feature in critically ill patients worldwide.
However, there is no clear, widely agreed‐upon definition available, with various studies …

NutritionDay ICU: a 7 year worldwide prevalence study of nutrition practice in intensive care

I Bendavid, P Singer, M Theilla, M Themessl-Huber… - Clinical nutrition, 2017 - Elsevier
Introduction To determine the nutrition practice in intensive care units and the associated
outcome across the world, a yearly 1 day cross sectional audit was performed from 2007 to …

Definition, prevalence, and outcome of feeding intolerance in intensive care: a systematic review and meta‐analysis

AR Blaser, J Starkopf, Ü Kirsimägi… - Acta Anaesthesiologica …, 2014 - Wiley Online Library
Clinicians and researchers frequently use the phrase 'feeding intolerance'(FI) as a
descriptive term in enterally fed critically ill patients. We aimed to:(1) determine what is the …

[HTML][HTML] The intestinal microenvironment in sepsis

KT Fay, ML Ford, CM Coopersmith - Biochimica et Biophysica Acta (BBA) …, 2017 - Elsevier
The gastrointestinal tract has long been hypothesized to function as “the motor” of multiple
organ dysfunction syndrome. The gastrointestinal microenvironment is comprised of a single …

New insights into the gut as the driver of critical illness and organ failure

M Meng, NJ Klingensmith… - Current opinion in …, 2017 - journals.lww.com
All components of the gut are adversely impacted by critical illness. Gut injury can not only
propagate local damage, but can also cause distant injury and organ failure. Understanding …

The digestive tract as the origin of systemic inflammation

PR de Jong, JM González-Navajas, NJG Jansen - Critical care, 2016 - Springer
Failure of gut homeostasis is an important factor in the pathogenesis and progression of
systemic inflammation, which can culminate in multiple organ failure and fatality. Pathogenic …