ESPEN

The European Society for Clinical Nutrition and Metabolism

Special Interest Groups

Acute Intestinal Failure
Status: ESPEN Special Interest Group

 
Started: August 2010 (at 33rd ESPEN Congress in Nice)
 
Field of interest: Nutritional and metabolic disorders in acute intestinal failure (AIF) and compromised gut (CG)
 
Aims: To perform scientific and epidemiological studies in the field of AIF and severe gastrointestinal disorders.
To provide guidelines for both topic and to participate in the education of professionals with an interest in AIF and CG.
 
Composition of the group: The ESPEN-AIF Special Interest Group has a maximum of 12 members. 
The group is multidisciplinary and members are recruited from physicians, pharmacists, nurses and dieticians. Membership of the group is normally limited to 4 years, but can be extended to assure continuity if the member vigorously participates in the SIG AIF’s activities.  
 
Presentation of the work of AIF: The coordinator of the study is normally the first author of the publication. The rest of authors are included in the authors list based on the contribution to the study.
Others, who contributed to the study, are thanked in the "acknowledgements" section. 
Papers are submitted to the ESPEN meetings and Clinical Nutrition or other relevant journals.
 
Meetings of the AIF group: The group convenes for at least two meetings every year. The Winter meeting is held during a week-end in January in a city selected by members.
The second meeting takes place during the ESPEN meeting in August or September.
An open meeting is organized during the ESPEN congress in order to give delegates the opportunity to learn about the activities of the group and recruit new members The information on the web site is adjusted at half-year intervals or when appropriate.
 
Members must fulfill the following criteria: Members of ESPEN 
Enthusiastic to participate in the work of the group. 

Expertise in the field of AIF and/or CG. 

Members must be approved by their national society for clinical nutrition 

A list of the members of the AIF SIG will be submitted to ESPEN Executive committee each year
Financial support: ESPEN provides financial support. The budget has to be accepted by ESPEN Executive committee. All expenses must be clearly defined (meetings, secretariat, mailing etc.).
Members of AIF group are encouraged to generate financial support from pharmaceutical companies or other sources. The ESPEN treasurer will control any money raised.
 

EDUCATION

 
The group has contributed to the ESPEN LLL program at the Barcelona congress:  
 
1. Nutritional Support in Gastrointestinal Disease
 
Topic 12: ‘Nutritional Support in Gastrointestinal Disease’
Chairman: Jon Shaffer
Lecturers: Jon Shaffer, Remy Meier, Steven Olde Damink, Stanislaw Klek
 
 2. 14:00 - 15:30 Educational session - High output fistulae management – 
 
Case discussion
Moderators: Jon. Shaffer, Alistair. Forbes 
Case presentation: Oivind. Irtun 
Experts: Marek Pertkiewicz, Steven Olde Damink, Geert Wanten, Henrik Rasmusson
 
Outside experts: A. Weimann, P. Soeters   Z. Krznaric
 

The group has also contributed to the ESPEN LLL program at Leipzig congress:  

1. Nutritional Support in Gastrointestinal Disease

 

Topic 12: ‘Nutritional Support in Gastrointestinal Disease’

Chairman:Jon Shaffer

Lecturers:Jon Shaffer, Remy Meier, Stanislaw Klek 
 
 

PUBLICATIONS

 
1. Gabe SM, Shaffer JL, Forbes A, Holst M, Irtun O, Klek S, Damink SO, Pertkiewicz M, Pironi L, Rasmussen HH, van Gemert WG, Wanten G. The management of patients with high output enterocutaneous gastrointestinal fistulae: a European Survey. Clin Nutr. 2012: Suppl 1:14-15
 
MAIN ACTIVITY 2011-ongoing:

1.     The evaluation of the diagnostic and therapeutic approach to enterocutaneous gastrointestinal fistula – worldwide distribute questionnaire (download here)

2.      Position paper acute intestinal failure

3.      Guidelines on chronic intestinal failure – in cooperation with EPSEN HAN SIG group

 
MAIN FUTURE ACTIVITY: guidelines on acute intestinal failure

 

LIST OF MEMBERS

 

CHAIRMAN:
Professor Jon SHAFFER, MB, 
Intestinal failure Unit 
Salford Royal Hospital
Stott Lane 
Salford M6 8HD
England
Fax: +44 161 206 4690
 
SECRETARY: 
Professor Steven Olde DAMINK, MD, PhD
Department of Surgery
Maastrich University Medical Centre
Maastrich, Netherlands
 
AIF Members: 
Professor Alastair FORBES, BSc MD FRCP FHEA
Consultant Gastroenterologist
Gastroenterology and Nutrition
Rockefeller Building
UCL Gower Street
London, WC1E 6BT 
 

Dr Rosa BURGOS PELAEZ
Nutritional Support Unit Coordinator
University Hospital Vall d'Hebron
Pg Vall d'Hebron 119-129
08035, Barcelona.
SPAIN
Tlf +034 93 2746262
Fax +034 93 2746188
mail: rburgos@vhebron.net

Professor Simon GABE, MD, PhD      
Consultant Gastroenterologist
St Mark's Hospital
Watford Road
Harrow HA1 3UJ
England
Fax: +44 20 8235 4009
 
Mette HOLST, PhD
Aalborg University Hospital
Centre for Nutrition and bowel disease
Department of Gastroenterology
 
Professor Oivind IRTUN 
Dept. of Gastroenterologic Surgery
University Hospital North-Norway
9038 TROMSO 
Norway 
 
Professor Stanislaw KLEK, MD, PhD
General and Oncology Surgery Unit
Stanley Dudrick’s Memorial Hospital
15 Tyniecka Street, 32-050 Skawina
Poland
 
Profesor Marina PANISIC
Department for Perioperative Nutrition
Clinic for General Surgery
Military Medica Academy
Belgrade, Serbia
Crnotravska street 17
Tel.: +381 63 32 72 51
e mail.: panisicm@ikomline.net
 
Professor Loris PIRONI, MD 
Center for Chronic Intestinal Failure, St. Orsola-Malpighi Hospital
University of Bologna
Via Massarenti, 9
40138 Bologna
Italy
TEL/FAX: +39 - 051 – 6363073
 

Professor Henrik Højgaard RASMUSSEN
Centre for Nutrition & Bowel Disease
Dept. Medical Gastroenterology
Faculty of Health, Aalborg University
Aalborg University Hospital
9000 AALBORG
Denmark
E-mail:hhr@rn.dk

 
Professor Geert WANTEN, MD, PhD, MSc 
Intestinal Failure Unit
Department of Gastroenterology and Hepatology
Radboud University Nijmegen Medical Centre
P.O. Box 9101 6500 HB Nijmegen,
The Netherlands
Phone: ++31 24 3614760 Fax: ++31 24 3540103

 

Cachexia-Anorexia in chronic diseases
Cachexia-Anorexia in Chronic Wasting Diseases: Muscaritoli Mbla

Home Artificial Nutrition & Chronic Intestinal Failure

List of Members  -  HPN Book  -  Works presented by HAN  -  Studies in progress  -  Contact HAN

Status: ESPEN Special Interest Group

 

Field of interest: Home Artificial Nutrition (enteral and parenteral) and Chronic Intestinal Failure

Aims:

To perform clinical and epidemiological studies in the field of HAN and of CIF. 

To provide guidelines for HAN and for CIF. 

To participate in the education of professionals with an interest in HAN and CIF.

Composition of the group:

Core Composition:

•         a maximum of 10 members, from National PEN Societies participating to the ESPEN Council

•         the group is multidisciplinary, members are selected among pharmacists, nurses, dieticians and doctors

Composition at large:

•         any ESPEN member who proposes a study, after approval of the protocol by the group, became part of the group until the end of the study

Presentation of the works of HAN & CIF:

The coordinator of the study is normally the first author of the publication. 

Those who contributed to the study are thanked in the "acknowledgements" section. 

Papers are submitted to the ESPEN meetings and Clinical Nutrition or other relevant journals.

Meetings of the HAN & CIF group:

The group convenes for two meetings every year. The winter meeting is held during a week-end in January or February in a city of one of the members.

The second meeting takes place during the ESPEN meeting in August or September.

An open meeting is organized when appropriate during the ESPEN congress in order to give delegates the opportunity to learn about the activities of the group. The information on the web site is adjusted at half-year intervals or when appropriate.

Renewal of the group:

Members of the group must be replaced continuously in order to assure the continuity of the group. Duration of the membership is normally 3-4 years.

Proposition of new members will be based on common sense in order to maintain the multinational and multidisciplinary composition of the group.

Members must fulfill the following criteria:

  • Member of ESPEN 
  • Enthusiastic to participate in the work of the group
  • Expertise in the field of HAN and/or CIF
  • Members must be approved by their national PEN society 
  • A list of the members of the HAN & CIF group will be submitted to ESPEN Central each year

Financial support:

ESPEN provides financial support. The budget has to be accepted by ESPEN Central. All expenses must be clearly defined (meetings, secretariat, mailing etc.).

Members of HAN & CIF group are encouraged to generate financial support from pharmaceuticals companies or other societies. The ESPEN treasurer will control the budget.

Home Parenteral Nutrition Book - 2nd edition    

Containing contributions from leading international experts and under the auspices of the ESPEN HAN Group, this book explores the life-saving treatment of home parenteral nutrition. It covers the complete scenario of home parenteral nutrition (HPN), from its prevalence in different continents to clinical indications and the practical aspects of its management. Topics covered inlcude the growing use of HPN, scientific and practical issues associated with HPN in adults and the pediatric population, indications and outcomes in various diseases, complications, nutrient requirements, preparation and administration of the admixtures, monitoring of patients, medical and surgical alternatives, ethics and legislation, and quality of life. To order it, click here.

ESPEN LLL-course on Home Parenteral Nutrition in Adults

The group actively contributes to the ESPEN LLL program by delivering the course on HPN in adults.

Acknowledgments

The group has been awarded with the “ESPEN RESEARCH NETWORK GRANT” 2009 for the project: “An international study of the quality of life of adult patients treated with home parenteral nutrition (HPN)”, presented by Janet Baxter.

 

Publications    

Cuerda C, Joly F, Corcos O, Concejo J, Puiggrós C, Gil C, Pironi L; HAH-CIF ESPEN Group. Prospective study of catheter-related central vein thrombosis in home parenteral nutrition patients with benign disease using serial venous Doppler ultrasound. Clin Nutr. 2015 Jan 23. [Epub ahead of print]

Pironi L, Arends J, Baxter J, Bozzetti F, Peláez RB, Cuerda C, Forbes A, Gabe S, Gillanders L, Holst M, Jeppesen PB, Joly F, Kelly D, Klek S, Irtun Ø, Olde Damink SW, Panisic M, Rasmussen HH, Staun M, Szczepanek K, Van Gossum A, Wanten G, Schneider SM, Shaffer J; Home Artificial Nutrition & Chronic Intestinal Failure and the Acute Intestinal Failure Special Interest Groups of ESPEN. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr. 2015 Apr;34(2):171-80.

Dreesen M, Pironi L, Wanten G, Szczepanek K, Foulon V, Willems L, Gillanders L, Joly F, Cuerda C, Van Gossum A. Outcome Indicators for Home Parenteral Nutrition (HPN) Care: Point of View From Adult Patients With Benign Disease. JPEN J Parenter Enteral Nutr. 2014 Jun 10 [Epub ahead of print]

Van Gossum A, Pironi L, Messing B, Moreno C, Colecchia A, D'Errico A, Demetter P, De Gos F, Cazals-Halem D, Joly F. Transient Elastography (FibroScan) Is Not Correlated With Liver Fibrosis but With Cholestasis in Patients With Long-Term Home Parenteral Nutrition. JPEN J Parenter Enteral Nutr. 2014 Jun 9. [Epub ahead of print]

Bozzetti F, Santarpia L, Pironi L, Thul P, Klek S, Gavazzi C, Tinivella M, Joly F, Jonkers C, Baxter J, Gramlich L, Chicharro L, Staun M, Van Gossum A, Lo Vullo S, Mariani L. The prognosis of incurable cachectic cancer patients on home parenteral nutrition: a multi-centre observational study with prospective follow-up of 414 patients. Ann Oncol. 2014 Feb;25(2):487-93.

Dreesen M, Foulon V, Hiele M, Vanhaecht K, De Pourcq L, Pironi L, Van Gossum A, Arends J, Cuerda C, Thul P, Bozzetti F, Willems L. Quality of care for cancer patients on home parenteral nutrition: development of key interventions and outcome indicators using a two-round Delphi approach. Support Care Cancer. 2013 May;21(5):1373-81.

Pironi L, Baxter JP, Lauro A, Guidetti M, Agostini F, Zanfi C, Pinna AD. Assessment of quality of life on home parenteral nutrition and after intestinal transplantation using treatment-specific questionnaires. Am J Transplant. 2012 Dec;12 Suppl 4:S60-6.

Baxter JP, Gillanders L, Angstmann K, Staun M, O’Hanlon C, Smith T, Joly F, Thul P, Jonkers C, Wanten G, Gardiner K, Klek S, Cuerda C, Magambo W, Hawthorne AB, Lukes A, Van Gossum A, Theilla M, Singer P, Shamir R, Pironi L. Home parenteral nutrition: An international benchmarking exercise. E-SPEN Journal 7 (2012) e211-e214

Pironi L, Goulet O, Buchman A, Messing B, Gabe S, Candusso M, Bond G, Gupte G, Pertkiewicz M, Steiger E, Forbes A, Van Gossum A, Pinna AD; Home Artificial Nutrition and Chronic Intestinal Failure Working Group of ESPEN. Outcome on home parenteral nutrition for benign intestinal failure: a review of the literature and benchmarking with the European prospective survey of ESPEN. Clin Nutr. 2012 Dec;31(6):831-45.

Dreesen M, Foulon V, Vanhaecht K, Hiele M, De Pourcq L, Pironi L, Van Gossum A, Wanten G, Baxter JP, Joly F, Cuerda C, Willems L. Development of quality of care interventions for adult patients on home parenteral nutrition (HPN) with a benign underlying disease using a two-round Delphi approach. Clin Nutr. 2013 Feb;32(1):59-64.

Pironi L, Forbes A, Van Gossum A. Gut. 2012 Jan;61(1): author reply 167.

Pironi L, Joly F, Forbes A, Colomb V, Lyszkowska M, Baxter J, Gabe S,Hébuterne X, Gambarara M, Gottrand F, Cuerda C, Thul P, Messing B, Goulet O, Staun M, Van Gossum A; Home Artificial Nutrition & Chronic Intestinal Failure Working Group of the European Society for Clinical Nutrition and Metabolism (ESPEN). Long-term follow-up of patients on home parenteral nutrition in Europe: implications for intestinal transplantation. Gut. 2011 Jan;60(1):17-25.

Pironi L, Staun M, Van Gossum A. Intestinal transplantation. N Engl J Med.2009 Dec 10;361(24):2388-9; author reply 2389.

Staun M, Pironi L, Bozzetti F, Baxter J, Forbes A, Joly F, Jeppesen P, Moreno J, Hébuterne X, Pertkiewicz M, Mühlebach S, Shenkin A, Van Gossum A; ESPEN. ESPEN Guidelines on Parenteral Nutrition: home parenteral nutrition (HPN) in adult patients. Clin Nutr. 2009 Aug;28(4):467-79.

Pironi L, Forbes A, Joly F, Colomb V, Lyszkowska M, Van Gossum A, Baxter J,Thul P, Hébuterne X, Gambarara M, Gottrand F, Moreno Villares JM, Messing B,Goulet O, Staun M; Home Artificial Nutrition Working Group of the European Society for Clinical Nutrition and Metabolism (ESPEN). Survival of patients identified as candidates for intestinal transplantation: a 3-year prospective follow-up. Gastroenterology. 2008 Jul;135(1):61-71.

Staun M, Hebuterne X, Shaffer J, Haderslev KV, Bozzetti F, Pertkiewicz M, Micklewright A, Moreno J, Thul P, Pironi L. Management of intestinal failure in Europe. A questionnaire based study on the incidence and management. Dyn Med. 2007 Jul 4;6:7.

Pironi L, Hébuterne X, Van Gossum A, Messing B, Lyszkowska M, Colomb V, Forbes A, Micklewright A, Villares JM, Thul P, Bozzetti F, Goulet O, Staun M. Candidates for intestinal transplantation: a multicenter survey in Europe. Am J Gastroenterol. 2006 Jul;101(7):1633-43.

Wengler A, Micklewright A, Hébuterne X, Bozzetti F, Pertkiewicz M, Moreno J, Pironi L, Thul P, Van Gossum A, Staun M; ESPEN-Home Artificial Nutrition working group. Monitoring of patients on home parenteral nutrition (HPN) in Europe: a questionnaire based study on monitoring practice in 42 centres. Clin Nutr. 2006 Aug;25(4):693-700.

Pironi L, Tjellesen L, De Francesco A, Pertkiewicz M, Morselli Labate AM,Staun M, Przedlacki J, Lezo A, Orlandoni P, Pasanisi F; ESPEN-home artificial nutrition working group. Bone mineral density in patients on home parenteral nutrition: a follow-up study. Clin Nutr. 2004 Dec;23(6):1288-302.

Hébuterne X, Bozzetti F, Moreno Villares JM, Pertkiewicz M, Shaffer J, Staun M, Thul P, Van Gossum A; ESPEN-Home Artificial Nutrition Working Group. Home enteral nutrition in adults: a European multicentre survey. Clin Nutr 2003;22:261-6

Bozzetti F, Mariani L, Bertinet DB, Chiavenna G, Crose N, De Cicco M, Gigli G, Micklewright A, Moreno Villares JM, Orban A, Pertkiewicz M, Pironi L, Vilas MP, Prins F, Thul P. Central venous catheter complications in 447 patients on home parenteral nutrition: an analysis of over 100.000 catheter days. Clin Nutr. 2002 Dec;21(6):475-85.

Pironi L, Labate AM, Pertkiewicz M, Przedlacki J, Tjellesen L, Staun M, De Francesco A, Gallenca P, Guglielmi FW, Van Gossum A, Orlandoni P, Contaldo F,Villares JM; Espen-Home Artificial Nutrition Working Group. Prevalence of bone disease in patients on home parenteral nutrition. Clin Nutr. 2002 Aug;21(4):289-9.

Van Gossum A, Vahedi K, Abdel-Malik, Staun M, Pertkiewicz M, Shaffer J,Hébuterne X, Beau P, Guédon C, Schmit A, Tjellesen L, Messing B, Forbes A. Clinical, social and rehabilitation status of long-term home parenteral nutrition patients: results of a European multicentre survey. Clin Nutr 2001;20:205-10

Moreno JM, Shaffer J, Staun M, Hébuterne X, Bozzetti F, Pertkiewicz M, Thul P, Van Gossum A. Survey on legislation and funding of Home Artificial Nutrition in different european countries. Clin Nutr 2001;20:117-23

Van Gossum A, Bakker H, Bozzetti F, Staun M, Leon-Sanz M, Hébuterne X, Pertkiewicz M, Shaffer J, Thul P. Home parenteral nutrition in adults: A european multicentre survey in 1997. ESPEN-Home Artificial Nutrition Working Group. Clin Nutr 1999;18:135-40

Van Gossum A. et al. Home Parenteral Nutrition (HPN) in children. A multicentre survey in Europe in 1997. Clin Nutr 1998;17(suppl. 1):49

Shaffer J. et al. A European survey on management of metabolic complications in home parenteral nutrition.  Clin Nutr 1997; 16 (suppl. 2):73

Van Gossum A, Bakker H, De Francesco A, Ladefoged K, Leon-Sanz M, Messing B, Pironi L, Pertkiewicz M, Shaffer J, Thul P, Wood S. ESPEN-Home Artificial Nutrition Working Group.  Home parenteral nutrition in adults: a multicentre survey in Europe in 1993. Clin Nutr. 1996 Apr;15(2):53-9.

Studies in progress     

For more information and participation, please contact the study coordinator.

  • Taurolidine for the prevention of CVC-infection (Coordinator: G. Wanten)
  • Post bariatric surgery:a new indication for Home Parenteral Nutrition (Coordinator: A. Van Gossum)
  • Clinical classification of adult patients with chronic intestinal failure: an international cross-sectional survey to compare the home parenteral nutrition activity among countries (Coordinator: L. Pironi)
  • Guidelines on Chronic Intestinal Failure (HAN&CIF group)
  • ESPEN Registry on Chronic Intestinal Failure (HAN&CIF group)
  • Clinical classification of adult patients with chronic intestinal failure: An international cross-sectional survey to compare the home parenteral nutrition activity among countries Protocol

HAN & CIF Working Group

    Chairman

HAN & CIF Working Group

Chairman

Prof. Loris PIRONI
Center for Chronic Intestinal Failure, St. Orsola-Malpighi Hospital
University of Bologna
Via Massarenti, 9
40138 Bologna, Italy
TEL/FAX: +39 - 051 - 6363073

 

Members

Dr. Jann Arends
Gastroenterology and Nutrition
KTB Tumor Biology Center at Albert-Ludwigs-University
Breisacher Strasse 117
79106 Freiburg, Germany
tel +49 - 761 - 206.1803 / .1890
fax +49 - 761 - 206.1892

Dr. Cristina CUERDA
Nutrition Unit
Hospital General Universitario Gregorio Marañón
c/ Doctor Esquerdo 46
28007 Madrid, Spain
FAX: +34 915868018

Dr. Francisca JOLY
Department of Gastroenterology and Nutritional Support
Approved centre for intestinal failure
Hôpital Beaujon
100 Bd General Leclerc
92110 Clichy, France

Dr. Simon Lal Simon.Lal@srft.nhs.uk
Intestinal Failure Unit
Salford Royal Foundation Trust
Salford
U.K.
M68HD
TEL: +41 01612065147
____________________

Dr. Michael STAUN
Rigshospitalet
Department of Medical Gastroenterology CA2121
Blegdamsvej 9
DK-2100 Copenhagen, Denmark
TEL: +45 3545 2157
FAX: +45 3545 2913

Dr. Kinga Szczepanek
Department of Anaesthesiology and Intensive Care Medicine
Jagiellonian University Collegium Medicum
Krakow
Poland
TEL: +48 608 515 670

Prof. Andrè Van Gossum
Université Libre de Bruxelles
Erasme Hospital
Gastroenterology Department
Route de Lennik 808 
1070 BRUXELLES 
Belgium 
Tel.: +32 2 555 4900 
Fax: +32 2 555 4901

 Dr. Geert WANTEN
Intestinal Failure Unit
Department of Gastroenterology and Hepatology
Radboud University Nijmegen Medical Centre
P.O. Box 9101 6500 HB Nijmegen, The Netherlands
Phone: ++31 24 3614760 Fax: ++31 24 3540103

 

Nutrition in Geriatrics 
Nutrition in Geriatrics

 

Chairman

T. Cederholm

 
Steering Committee

J. Bauer, S. Schneider, C. Sieberbla 

Perioperative Nutrition, ERAS 
Perioperative nutrition ERAS

 

Fearon KC

Tracer Methodology 
Nutrition in Obesity
Nutrition in Obesity

 

Chairmen

Rocco Barazzoni
Stephan C. Bischoff

Next scheduled meeting: Lisbon, September 5th, 2015 (09:00-11:00 am)

Recent Publication:

Clin Nutr. 2015 Apr;34(2):169-70. doi: 10.1016/j.clnu.2015.01.002. Epub 2015 Jan 13.
Should ESPEN engage in facing the obesity challenge?
 

 

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