Standardized documentation and synoptic reporting of complex intestinal anatomy in enteric fistulation and intestinal failure.
abdominal wall failure
abdominal wall reconstruction
intestinal failure
intestinal rehabilitation
template
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
revised:
23
11
2021
received:
09
09
2021
accepted:
25
11
2021
pubmed:
4
12
2021
medline:
4
5
2022
entrez:
3
12
2021
Statut:
ppublish
Résumé
In intestinal failure, delineation of both structure and function are key to controlling symptoms and planning further intervention. We have developed a template for developing an 'anatomy at a glance' patient-specific map to aid decision making and counselling. A core dataset was developed and used to create an editable template to demonstrate the gastrointestinal tract, its relationship to the genitourinary tract, and specific anterior abdominal wall features. This was then used to create an anatomical template, specific to each patient, and stored in the electronic patient record and imaging archive. We have developed a technique for integration of multi-modal information into one diagram, easily referenced by the multidisciplinary team. Radiology, endoscopy and previous operation notes can be used to fill out a core dataset, which is then transposed into a standardized template. A worked example is shown. The mapping template has been successfully integrated into practice and aided decision making at all stages of the patient's therapeutic journey. It has been found helpful in planning routes of nutrition, preoperative optimization, surgical planning, interpreting postoperative imaging and managing patient expectations.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
530-534Informations de copyright
© 2021 The Association of Coloproctology of Great Britain and Ireland.
Références
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