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Identifying and Treating Patients With SBS-IF
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Nutritional Homeostasis and Imbalance
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Normal
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Imbalance
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Homeostasis by PS
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A Spectrum of Intestinal Function and Metabolic Consequences
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ESPEN Guidelines on Chronic IF in Adults
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Definitions: Intestinal Insufficiency and IF
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Pathophysiological Causes of IF
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What Is SBS-IF?
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What Is SBS?
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Alternative Methods of Classification and Characterization of SBS
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Causes and Preexisting Disease Leading to SBS
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SBS Classification According to Postsurgical Outcome
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SBS Classification According to Anatomy Groups
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SBS Classification According to Remnant Intestinal Absorptive Capacity
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Absorption of Wet Weight and Energy in Patients Receiving HPN
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Summary
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Management of Patients With SBS-IF
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Consequences of Untreated IF
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Oversight of Management Strategy and Multidisciplinary Teams in Intestinal Rehabilitation
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Management Focus: Individualized High Quality of Care to Ensure Best Quality of Life
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Summary
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Nonsurgical Treatment of SBS-IF
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Pharmacologic Treatment of SBS-IF: Objectives
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Pharmacologic Treatment of SBS-IF: Goal
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SBS-IF: Most Common Medical Strategies -- Make the Most of What the Patient Still Has
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ESPEN: Recommendations Regarding Diet
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ESPEN: Recommendations Regarding Oral Fluid
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SBS-IF: Most Common Medical Strategies -- Make the Most of What the Patient Still Has (cont)
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ESPEN: Recommendations Regarding Antidiarrheal Agents
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ESPEN: Recommendations Regarding Antisecretory Agents
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SBS-IF: Most Common Medical Strategies -- Make the Most of What the Patient Still Has (cont)
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SBS Pathophysiology
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ESPEN: Recommendations Regarding Hormonal Agents
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ESPEN: Recommendations Regarding Hormonal Agents (cont)
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Evidence for the Use of Teduglutide
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Release Sites of Humoral and Neural Mediators of Nutrient Processing
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Teduglutide
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Beneficial Effects of Teduglutide
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STEPS, STEPS-2, and STEPS-3: Study Design
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STEPS: Patient Demographics
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STEPS: Primary Endpoint -- Greater Than 20% Reduction in PN/IV
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STEPS: Mean Reduction in PN/IV Volume at Week 24
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STEPS: Difference in Mean FCE and Components of FCE at Week 24
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STEPS: Patients Achieving at Least 1 Day off PN per Week
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STEPS and STEPS-2: PN/IV Volume Reductions Over 30 Months
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Teduglutide: Safety/Tolerability
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Benefits of Intestinal Rehabilitation
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Program Summary
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Program Summary (cont)
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Abbreviations
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Abbreviations (cont)
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