#07: Dr Simon Gabe - Rebuilding the gut: Intestinal rehabilitation

This is a really special episode with an incredible doctor (Jon says "the best clinician I have ever met"). Today we welcome Dr Simon Gabe, an internationally renowned expert in intestinal rehabilitation. Dr Simon Gabe is a consultant in gastroenterology & intestinal rehabilitation at St Mark’s Hospital and chair of the NHS National Reference Centre for Severe Intestinal Failure at St Mark’s. This is also an Integrated Care centre for intestinal failure and a recognised ESPEN Training Centre.  He has a wide clinical experience in dealing with complex nutritional problems, inflammatory bowel disease, fistula management, intestinal failure requiring enteral or parenteral support, home parenteral nutrition and consideration of intestinal transplantation.  Dr Gabe is a past President of BAPEN. He co-founded the National Adult Small Intestinal Transplant (NASIT) Forum in the UK and has been an active member of a Clinical Reference Group within NHS England responsible for the development of a clinical network in England for all patients with Intestinal Failure (HIFNET). He currently co-chairs the HPN Clinical Advice and Management Group for NHS England.As always comments, questions and feedback please send to: X: @2guystalkingit Email: [email protected]:15 Introduction to Simon Gabe  06:59 Understanding Intestinal Rehabilitation  09:56 Defining Intestinal Failure  13:29 Trends in Intestinal Failure Causes  16:23 Bowel Length and Nutritional Support  20:26 Managing Short Bowel Syndrome  26:06 Barriers to Recognizing Intestinal Failure  30:37 Patient Evaluation Process for Intestinal Failure  33:07 Empowering Patients in Line Management  36:21 Managing Line Sepsis: Best Practices  43:17 Understanding Ehlers-Danlos Syndrome (EDS) and Nutrition  50:14 Nutritional Support in Cancer Patients  54:18 Enteral Support in Dementia Patients  57:15 Addressing Intestinal Ischemia: A Call to Action  KeywordsIntestinal rehabilitation, intestinal failure, nutrition, gastroenterology, patient care, bowel length, short bowel syndrome, nutritional support, clinical practice, healthcare, line management, line sepsis, Ehlers-Danlos Syndrome, nutritional support, cancer patients, dementia, intestinal ischemia, patient empowerment, multidisciplinary team, intravenous nutrition