Stephanie Oliveira
128 statements · 3 topics
Featured statements
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 ·
Crohn's Disease
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.
quote ·
Crohn's Disease
Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection.
quote ·
Intestinal Failure
Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube.
quote ·
Intestinal Failure
The goal is to optimize intestinal function and adaptation before the development of irreversible complications.
quote ·
Intestinal Rehab
It's not known why this happens.
quote ·
Intestinal Rehab
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Stephanie's statements about Crohn's Disease 32 statements
Open the Crohn's Disease collection →
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
Quotation
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.
Open
Statement
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.
Open
Quotation
More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders.
Open
Statement
More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders.
Open
Statement
Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus.
Open
Statement
The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure.
Open
Quotation
The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout.
Open
Statement
The cause of chronic intestinal inflammation in intestinal failure survivors is not known.
Open
Statement
Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities.
Open
Quotation
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.
Open
Statement
The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Quotation
The goal is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Statement
Intestinal adaptation is an active compensatory process that starts immediately after bowel resection.
Open
Quotation
Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection.
Open
Statement
Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation.
Open
Quotation
We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore.
Open
Quotation
Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube.
Open
Statement
Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube.
Open
Quotation
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.
Open
Statement
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.
Open
Quotation
One of the things that changed the outcome is the establishment of multidisciplinary teams.
Open
Statement
The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure.
Open
Statement
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.
Open
Quotation
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.
Open
Statement
Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later.
Open
Quotation
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.
Open
Statement
Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades.
Open
Stephanie's statements about Intestinal Failure 32 statements
Open the Intestinal Failure collection →
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
Statement
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.
Open
Quotation
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.
Open
Quotation
More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders.
Open
Statement
More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders.
Open
Statement
Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus.
Open
Statement
The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure.
Open
Quotation
The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout.
Open
Statement
The cause of chronic intestinal inflammation in intestinal failure survivors is not known.
Open
Statement
Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities.
Open
Quotation
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.
Open
Quotation
The goal is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Statement
The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Statement
Intestinal adaptation is an active compensatory process that starts immediately after bowel resection.
Open
Quotation
Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection.
Open
Statement
Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation.
Open
Quotation
We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore.
Open
Quotation
Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube.
Open
Statement
Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube.
Open
Quotation
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.
Open
Statement
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.
Open
Statement
The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure.
Open
Quotation
One of the things that changed the outcome is the establishment of multidisciplinary teams.
Open
Statement
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.
Open
Quotation
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.
Open
Statement
Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later.
Open
Quotation
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.
Open
Statement
Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option.
Open
Quotation
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.
Open
Statement
Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades.
Open
Quotation
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.
Open
Stephanie's statements about Intestinal Rehab 64 statements
Open the Intestinal Rehab collection →
Advancements in Pediatric Intestinal Failure: Innovative Therapies and Improved Outcomes
Quotation
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.
Open
Statement
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.
Open
Statement
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.
Open
Quotation
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.
Open
Statement
More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders.
Open
Quotation
More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders.
Open
Statement
More than 50% of intestinal failure cases are related to short bowel syndrome, with additional cases from mucosal enteropathies and dysmotility disorders.
Open
Quotation
More than 50% of the cases that we see are related to short bowel syndrome, some mucosal enteropathies and some dysmotility disorders.
Open
Statement
Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus.
Open
Statement
Most causes of short bowel syndrome in pediatrics occur during the neonatal period, including gastroschisis, necrotizing enterocolitis, bowel atresia, and intestinal volvulus.
Open
Quotation
The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout.
Open
Quotation
The field is starting to focus on neurocognitive outcomes, quality of life, and caregiver burnout.
Open
Statement
The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure.
Open
Statement
The field is now focusing on neurocognitive outcomes, quality of life, and caregiver burnout as more children survive intestinal failure.
Open
Statement
The cause of chronic intestinal inflammation in intestinal failure survivors is not known.
Open
Statement
The cause of chronic intestinal inflammation in intestinal failure survivors is not known.
Open
Statement
Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities.
Open
Statement
Intestinal rehabilitation treatment strategy lacks clear-cut guidelines because every patient is unique with different gestational age, bowel resection, anatomy, and comorbidities.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Quotation
The goal is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Quotation
The goal is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Statement
The goal of intestinal rehabilitation is to optimize intestinal function and adaptation before the development of irreversible complications.
Open
Statement
Intestinal adaptation is an active compensatory process that starts immediately after bowel resection.
Open
Quotation
Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection.
Open
Statement
Intestinal adaptation is an active compensatory process that starts immediately after bowel resection.
Open
Quotation
Intestinal adaptation is an active process, is a compensatory process that starts happening right after bowel resection.
Open
Statement
Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation.
Open
Statement
Food, bacteria, and hormones in the gut are important factors that enhance intestinal adaptation.
Open
Quotation
We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore.
Open
Quotation
We are trying to regain function of the bowel, so eventually the person doesn't need TPN anymore.
Open
Statement
Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube.
Open
Statement
Enteral autonomy is defined as getting off TPN with all nutrition going to the gut, either by mouth or by feeding tube.
Open
Quotation
Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube.
Open
Quotation
Internal autonomy is getting off TPN, having all your nutrition going to your gut, either by mouth or by a feeding tube.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
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.
Open
Statement
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.
Open
Statement
The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure.
Open
Statement
The establishment of multidisciplinary teams is one factor that changed outcomes in intestinal failure.
Open
Quotation
One of the things that changed the outcome is the establishment of multidisciplinary teams.
Open
Quotation
One of the things that changed the outcome is the establishment of multidisciplinary teams.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
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.
Open
Statement
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.
Open
Quotation
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.
Open
Statement
Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later.
Open
Statement
Patients should be referred to intestinal rehabilitation programs when not making progress, on prolonged TPN, or have significant comorbidities, preferably sooner rather than later.
Open
Quotation
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.
Open
Quotation
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.
Open
Statement
Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option.
Open
Quotation
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.
Open
Statement
Patients should not be referred to intestinal rehabilitation when several irreversible complications have already occurred and transplant is the only remaining option.
Open
Statement
Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades.
Open
Quotation
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.
Open
Statement
Intestinal transplantation is considered when there are irreversible complications, though the number of transplants has significantly decreased over the last several decades.
Open
Quotation
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.
Open