Stephanie Oliveira

96 timestamped statements across 2 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Intestinal Failure · guest expert Intestinal Rehab · guest expert

Featured diaries

▶ Ep 28 · 4:19
If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later.
quote · Intestinal Failure
▶ Ep 108 · 4:19
If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later.
quote · Intestinal Rehab
▶ Ep 108 · 4:19
If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later.
quote · Intestinal Rehab
▶ Ep 28 · 1:52
We don't have a clear-cut guideline because every patient is extremely unique, born in a different gestational age, had a different bowel resection, has a different anatomy, different set of comorbidities.
quote · Intestinal Failure

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Intestinal Failure 32 entries

Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes

▶ Ep 28 · 0:26
clinical Intestinal failure is defined as the reduction of functioning intestinal mass below that which can sustain life, resulting in dependence on supplemental parenteral support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 28 · 0:26
quote The reduction of functioning intestinal mass below that which can sustain life, resulting in dependence of supplemental parental support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 28 · 0:43
quote More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders. ↗
▶ Ep 28 · 0:43
epidemiological More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders. ↗
▶ Ep 28 · 0:55
clinical Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus. ↗
▶ Ep 28 · 1:18
quote The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout. ↗
▶ Ep 28 · 1:18
opinion The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure. ↗
▶ Ep 28 · 1:37
clinical The cause of chronic intestinal inflammation in intestinal failure survivors is not known. ↗
▶ Ep 28 · 1:37
quote It's not known why this happens. ↗
▶ Ep 28 · 1:48
clinical Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities. ↗
▶ Ep 28 · 1:52
quote We don't have a clear-cut guideline because every patient is extremely unique, born in a different gestational age, had a different bowel resection, has a different anatomy, different set of comorbidities. ↗
▶ Ep 28 · 2:07
clinical The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 28 · 2:07
quote The goal is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 28 · 2:30
clinical Intestinal adaptation is an active compensatory process that starts immediately after bowel resection. ↗
▶ Ep 28 · 2:30
quote Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection. ↗
▶ Ep 28 · 2:42
clinical Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation. ↗
▶ Ep 28 · 2:42
quote Food, bacteria and hormones in the gut is important. ↗
▶ Ep 28 · 2:45
quote We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore. ↗
▶ Ep 28 · 3:11
quote Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube. ↗
▶ Ep 28 · 3:11
clinical Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube. ↗
▶ Ep 28 · 3:33
quote From 2010 to 2015, that study was repeated with double the number of patients and still about 50% reached enter autonomy. But the number of transplants significantly decreased as well as death. ↗
▶ Ep 28 · 3:33
epidemiological From 2010 to 2015, a repeat study with double the number of patients showed approximately 50% still reached enteral autonomy, but the number of transplants and deaths significantly decreased. ↗
▶ Ep 28 · 3:46
clinical The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure. ↗
▶ Ep 28 · 3:46
quote One of the things that changed the outcome is the establishment of multidisciplinary teams. ↗
▶ Ep 28 · 4:03
quote The residue is more about length, the more about, the better. Follow up on an institution that has an IR program and no-step procedure. ↗
▶ Ep 28 · 4:03
clinical Predictors of reaching enteral autonomy include residual bowel length (more is better), follow-up at an institution with an intestinal rehabilitation program, and no STEP procedure. ↗
▶ Ep 28 · 4:19
guideline Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later. ↗
▶ Ep 28 · 4:19
quote If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later. ↗
▶ Ep 28 · 4:39
quote You don't want to refer them when several complications already happened and now there's not a lot we can do other than transplant. ↗
▶ Ep 28 · 4:39
guideline Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option. ↗
▶ Ep 28 · 4:49
clinical Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades. ↗
▶ Ep 28 · 4:49
quote We transplant when we have irreversible complications, or we have so many things to do to avoid that. The number of transplants has significantly decreased over the last several decades. ↗
Intestinal Rehab 64 entries

Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes

▶ Ep 108 · 0:26
clinical Intestinal failure is defined as the reduction of functioning intestinal mass below that which can sustain life, resulting in dependence on supplemental parenteral support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 108 · 0:26
quote The reduction of functioning intestinal mass below that which can sustain life, resulting in dependence of supplemental parental support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 108 · 0:26
quote The reduction of functioning intestinal mass below that which can sustain life, resulting in dependence of supplemental parental support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 108 · 0:26
clinical Intestinal failure is defined as the reduction of functioning intestinal mass below that which can sustain life, resulting in dependence on supplemental parenteral support for a minimum of 60 days within a 74 consecutive day interval. ↗
▶ Ep 108 · 0:43
quote More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders. ↗
▶ Ep 108 · 0:43
epidemiological More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders. ↗
▶ Ep 108 · 0:43
epidemiological More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders. ↗
▶ Ep 108 · 0:43
quote More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders. ↗
▶ Ep 108 · 0:55
clinical Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus. ↗
▶ Ep 108 · 0:55
clinical Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus. ↗
▶ Ep 108 · 1:18
opinion The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure. ↗
▶ Ep 108 · 1:18
quote The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout. ↗
▶ Ep 108 · 1:18
quote The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout. ↗
▶ Ep 108 · 1:18
opinion The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure. ↗
▶ Ep 108 · 1:37
quote It's not known why this happens. ↗
▶ Ep 108 · 1:37
clinical The cause of chronic intestinal inflammation in intestinal failure survivors is not known. ↗
▶ Ep 108 · 1:37
clinical The cause of chronic intestinal inflammation in intestinal failure survivors is not known. ↗
▶ Ep 108 · 1:37
quote It's not known why this happens. ↗
▶ Ep 108 · 1:48
clinical Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities. ↗
▶ Ep 108 · 1:48
clinical Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities. ↗
▶ Ep 108 · 1:52
quote We don't have a clear-cut guideline because every patient is extremely unique, born in a different gestational age, had a different bowel resection, has a different anatomy, different set of comorbidities. ↗
▶ Ep 108 · 1:52
quote We don't have a clear-cut guideline because every patient is extremely unique, born in a different gestational age, had a different bowel resection, has a different anatomy, different set of comorbidities. ↗
▶ Ep 108 · 2:07
quote The goal is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 108 · 2:07
clinical The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 108 · 2:07
quote The goal is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 108 · 2:07
clinical The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications. ↗
▶ Ep 108 · 2:30
clinical Intestinal adaptation is an active compensatory process that starts immediately after bowel resection. ↗
▶ Ep 108 · 2:30
quote Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection. ↗
▶ Ep 108 · 2:30
clinical Intestinal adaptation is an active compensatory process that starts immediately after bowel resection. ↗
▶ Ep 108 · 2:30
quote Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection. ↗
▶ Ep 108 · 2:42
quote Food, bacteria and hormones in the gut is important. ↗
▶ Ep 108 · 2:42
clinical Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation. ↗
▶ Ep 108 · 2:42
clinical Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation. ↗
▶ Ep 108 · 2:42
quote Food, bacteria and hormones in the gut is important. ↗
▶ Ep 108 · 2:45
quote We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore. ↗
▶ Ep 108 · 2:45
quote We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore. ↗
▶ Ep 108 · 3:11
clinical Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube. ↗
▶ Ep 108 · 3:11
quote Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube. ↗
▶ Ep 108 · 3:11
quote Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube. ↗
▶ Ep 108 · 3:11
clinical Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube. ↗
▶ Ep 108 · 3:33
epidemiological From 2010 to 2015, a repeat study with double the number of patients showed approximately 50% still reached enteral autonomy, but the number of transplants and deaths significantly decreased. ↗
▶ Ep 108 · 3:33
quote From 2010 to 2015, that study was repeated with double the number of patients and still about 50% reached enter autonomy. But the number of transplants significantly decreased as well as death. ↗
▶ Ep 108 · 3:33
epidemiological From 2010 to 2015, a repeat study with double the number of patients showed approximately 50% still reached enteral autonomy, but the number of transplants and deaths significantly decreased. ↗
▶ Ep 108 · 3:33
quote From 2010 to 2015, that study was repeated with double the number of patients and still about 50% reached enter autonomy. But the number of transplants significantly decreased as well as death. ↗
▶ Ep 108 · 3:46
quote One of the things that changed the outcome is the establishment of multidisciplinary teams. ↗
▶ Ep 108 · 3:46
clinical The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure. ↗
▶ Ep 108 · 3:46
quote One of the things that changed the outcome is the establishment of multidisciplinary teams. ↗
▶ Ep 108 · 3:46
clinical The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure. ↗
▶ Ep 108 · 4:03
clinical Predictors of reaching enteral autonomy include residual bowel length (more is better), follow-up at an institution with an intestinal rehabilitation program, and no STEP procedure. ↗
▶ Ep 108 · 4:03
quote The residue is more about length, the more about, the better. Follow up on an institution that has an IR program and no-step procedure. ↗
▶ Ep 108 · 4:03
quote The residue is more about length, the more about, the better. Follow up on an institution that has an IR program and no-step procedure. ↗
▶ Ep 108 · 4:03
clinical Predictors of reaching enteral autonomy include residual bowel length (more is better), follow-up at an institution with an intestinal rehabilitation program, and no STEP procedure. ↗
▶ Ep 108 · 4:19
guideline Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later. ↗
▶ Ep 108 · 4:19
guideline Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later. ↗
▶ Ep 108 · 4:19
quote If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later. ↗
▶ Ep 108 · 4:19
quote If any physician has a patient with intestinal failure, we can consult at any point and provide support. But definitely, patients that are not making progress, that are on prolonged TPN have significant comorbidities, you wanna make sure you refer them sooner than later. ↗
▶ Ep 108 · 4:39
quote You don't want to refer them when several complications already happened and now there's not a lot we can do other than transplant. ↗
▶ Ep 108 · 4:39
guideline Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option. ↗
▶ Ep 108 · 4:39
quote You don't want to refer them when several complications already happened and now there's not a lot we can do other than transplant. ↗
▶ Ep 108 · 4:39
guideline Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option. ↗
▶ Ep 108 · 4:49
clinical Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades. ↗
▶ Ep 108 · 4:49
quote We transplant when we have irreversible complications, or we have so many things to do to avoid that. The number of transplants has significantly decreased over the last several decades. ↗
▶ Ep 108 · 4:49
clinical Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades. ↗
▶ Ep 108 · 4:49
quote We transplant when we have irreversible complications, or we have so many things to do to avoid that. The number of transplants has significantly decreased over the last several decades. ↗