Intestinal failure (IF) is characterised by diarrhea, fluid and electrolyte disturbances, micronutrient malabsorption and weight loss. Dietitians play a crucial role in IF treatment by determining appropriate MNT for fluid, nutrient and electrolyte replacement. In most cases parenteral nutrition (PN) has been mandatory after resection, but by utilisation of chyme reinfusion therapy (CRT) with the Insides system, most patients can now be weaned earlier from PN to facilitate implementation of oral and/or enteral nutrition (EN) that can improve bowel function, liver enzymes and intestinal adaptation.

Once implemented, the patient is monitored for any complications and progress in nutritional status, and hence effectiveness of the chosen medical nutrition therapy (MNT).