East Carolina University. Tomorrow starts here.®
 
Department of Internal Medicine
Division of Gastroenterology, Hepatology and Nutrition






<H2>Intestinal Rehabilitation</H2>

The intestinal rehabilitation program is a comprehensive approach to intestinal failure which includes diagnostic evaluation, medical management, and if necessary surgical intervention. Intestinal rehabilitation is the process of enhancing intestinal adaptation through which the small intestine gradually increases its absorptive capacity with the use of diet, medication, parenteral nutrition, enteral nutrition or a combination of these. If necessary, gastrointestinal surgery may be used to restore the integrity of the intestinal tract. When intestinal rehabilitation cannot be performed, we will evaluate the individual for possible intestinal transplantation. Our goal is to improve the function of the remaining bowel and return patients back to a more normal life.  

Who should consider intestinal rehabilitation?
• Individuals with short bowel syndrome (short gut)
• Individuals with malabsorption syndrome
• Individuals with intestinal failure or severe gastrointestinal dysfunction
• Individuals seeking to reduce or eliminate the need for Parenteral Nutrition (TPN)
• Individuals struggling to maintain their weight or nutritional status (including hydration) without relying on   intravenous support
• Individuals having repeated episodes of inflammatory bowel disease which interferes with maintaining a normal nutritional   status
• Individuals with chronic diarrhea, dehydration or weight loss due to malabsorption
• Individuals requiring intravenous or specialized tube feedings for fluid or nutrients
• Patients who need to reduce diarrhea and control stool output
• Individuals who need to gain weight