Intestinal treatment options

At Nebraska Medicine, we offer a comprehensive Intestinal Failure Program with medical and surgical treatment options, including:

  • Comprehensive medical care for adult and pediatric patients with complex liver and intestinal diseases
  • A multidisciplinary intestinal rehabilitation program for patients on total parenteral nutrition (TPN), focusing on decreasing their need for TPN with the goal of preventing or delaying the need for transplantation
  • Nutritional support
  • Omegavan trials for infants. The calorie-dense lipids in total parenteral nutrition (TPN) help keep the intestinal failure patients alive, but the type used in the United States (made from soybean oil) contains a high amount of Omega-6 fatty acids, which can lead to cirrhosis of the liver. Omegaven, a lipid preparation made from fish oil could be far less toxic to patients' livers than TPN. Omegaven is only currently available in Europe, except in the case of studies like the one at Nebraska Medicine or under special release from the FDA
  • Surgical treatment options, including lengthening procedures such as STEP (Serial Transverse Enteroplasty), tapering procedures, repair of fistulas and bowel reconnection.
  • Transplantation, including isolated intestinal transplant and liver/intestine/pancreas (multivisceral) transplantation, when medical or surgical treatment interventions fail.


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