Intestine Failure and Rehabilitation

If you are struggling with intestine failure, intestine rehabilitation can improve your quality of life. The goal of the Henry Ford Intestine Transplant and Rehabilitation Program is to help reduce your dependence on total parenteral nutrition (TPN) or intravenous (IV) feedings, and prevent you from needing an intestine transplant.

Intestine failure occurs if your body can’t digest and absorb important food, fluids and nutrients. You may get nutrition through TPN or IV feedings. Over time, this can lead to infection, blood clots or liver problems. Your intestine failure may continue to get worse.

We offer hope at the Henry Ford Intestine Transplant and Rehabilitation Program. It’s the only program of its kind in Michigan with the full range of treatments for intestine failure:

  • Is Intestine Rehabilitation for You?

    Intestine rehabilitation may help if you depend on TPN or IV feeding for intestine failure. The Henry Ford Intestine Transplant and Rehabilitation Program treats:

    Structural causes of intestine failure

    Short bowel syndrome

    Blockage or obstruction of the bowel due to:
    • hernia
    • twisted intestine (volvulus)
    • folded intestine (intussusception)
    Surgical removal of part of the intestine due to:
    • tissue death (necrotizing enterocolitis)
    • inadequate blood flow to small intestine (mesenteric ischemia or thrombosis)
    • trauma to the abdomen
    • malrotation/volvulus
    • tumor     
    • Crohn’s disease

    Functional causes of intestine failure

    • Chronic intestine obstruction or pseudo-obstruction
    • Celiac disease
    • Damage from radiation therapy
    • Chronic diarrhea (congenital villous atrophy/microvillous inclusion disease/tufting enteropathy)
    • Fistula
    • Hirschsprung's disease
    • Inflammatory bowel disease
    • Intestine dysmotility
  • Rehabilitation for Intestine Failure

    The Henry Ford Intestine Transplant and Rehabilitation Program uses diet and medication, and surgery when necessary, to improve your quality of life. Our team of experts is experienced in treating complicated intestine failure through:

    • Nutritional counseling and dietary changes, emphasizing:
      • necessary nutrients
      • complex carbohydrates, low fiber, and restricted fat
      • small meals of dry foods with no fluid intake at least one hour after the meal
    • Intestine adaption to improve absorption of electrolytes, fluids and nutrients by promoting:
      • taller villi
      • deeper crypts
      • increased ileal diameter and length
    • Medication to manage complications, such as diarrhea, peptic ulcers, gallstones, kidney stones, D-lactic acidosis
    • State-of-the-art surgical procedures
  • Surgery for Intestine Failure

    Sometimes surgery is necessary to improve intestine function, encourage better nutrient absorption, and preserve the remaining short bowel. The surgeons at the Henry Ford Intestine Transplant and Rehabilitation Program are experts in the most innovative surgical techniques for intestine failure.

    Surgery to correct slow intestinal transit:
    • Strictureplasty
    • Partial obstruction
    • Blind loops
    • Enteroenteric fistulas
    Surgery to increase surface area:
    • Intestine lengthening
      • Longitudinal intestinal lengthening and tailoring (Bianchi LILT)
      • Serial transverse enteroplasty (STEP)
    Surgery to improve intestinal motility with dilated bowel:
    • Intestine tapering
    Surgery to slow intestinal transit without dilated bowel:
    • Segmental reversal of small bowel (SRSB)
    • Isoperistaltic colonic interposition

For Patients

To learn more or request a consult, submit an online form or call: (313) 916-1826.

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For Referring Physicians

To refer a patient, submit an online form or call: (855) 85-TRANSPLANT.

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