<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452025000100043</article-id>
<article-id pub-id-type="doi">10.1159/000540116</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Falência Intestinal Crónica e Síndrome do Intestino Curto em Adultos: Princípios e Perspetivas para o Serviço Nacional de Saúde]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic Intestinal Failure and Short Bowel Syndrome in Adults: Principles and Perspectives for the Portuguese Health System]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vara-Luiz]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Glória]]></surname>
<given-names><![CDATA[Luísa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Ivo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carlos]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Gonçalo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Cátia So&#64257;a]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Andreia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Ana Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Garcia de Orta Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Egas Moniz School of Health and Science Aging Lab, Egas Moniz Center for Interdisciplinary Research (CiiEM) ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Beatriz Ângelo Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Garcia de Orta Surgery Department ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Pediatrics Department ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Lusíadas Lisboa Nutrition Department ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital Garcia de Orta Pharmacy Department ]]></institution>
<addr-line><![CDATA[Almada ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>1</numero>
<fpage>43</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452025000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452025000100043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452025000100043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Contexto:  A síndrome do intestino curto constitui uma condição clínica devastadora e mal-absortiva, sendo a causa mais comum de falência intestinal crónica (FIC). Estes doentes carecem de suporte parentérico durante meses ou anos, idealmente em ambulatório, reduzindo as suas limitações no seu dia-a-dia.  Sumário:  Em Portugal, a Norma 017/2020 constituiu um primeiro passo o&#64257;cial na abordagem da FIC, abrangendo cada vez mais doentes em contexto de ambulatório. Contudo, em Portugal não existe rede de serviços/unidades que possam providenciar nutrição parentérica domiciliária e apenas alguns centros possuem competência no tratamento de doentes com FIC, nomeadamente no manejo da &#64258;uidoterapia, nutrição oral, entérica e parentérica, complicações associadas à doença e/ou à própria nutrição parentérica domiciliária, tratamento farmacológico e ainda na prevenção/tratamento cirúrgico. Proporcionar uma adequada transição da idade pediátrica para a idade adulta constitui um aspeto fundamental que apenas deve ser operacionalizado entre centros de referência.  Mensagens-chave:  A implementação de uma rede nacional de FIC, assim como a criação de um registo nacional de FIC, com foco inicial no doente adulto, iniciarão uma nova era na identi&#64257;cação e abordagem adequada destes doentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Short bowel syndrome is a devastating mal-absorptive condition and the most common cause of chronic intestinal failure (CIF). Patients need parenteral support for months or years. Ideally, it should be delivered at home, reducing limitations in everyday life activities.  Summary:  The Portuguese Health Directive 017/2020 was the &#64257;rst step in the regulation of home CIF management, and more patients are now being treated in an ambulatory setting. However, much work still needs to be performed in this area. Our country lacks a network of units capable of providing home parenteral nutrition (HPN), and only a few centers have expertise to take care of these complex patients: &#64258;uid support, oral, enteral, and parenteral nutrition; disease/HPN-related complications; pharmacologic treatment; and surgical prevention/treatment. Providing adequate transition from pediatric to adult care is a mandatory issue that should only be addressed by expert centers.  Key Messages:  Implementation of a national net-work, as well as the creation of an intestinal failure registry, with an initial focus on adult patients, will start a new era in the identi&#64257;cation and management of these complex CIF patients.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Intestinal failure]]></kwd>
<kwd lng="en"><![CDATA[Home parenteral nutrition]]></kwd>
<kwd lng="en"><![CDATA[Short bowel syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Falência intestinal]]></kwd>
<kwd lng="pt"><![CDATA[Nutrição parentérica domiciliária]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome do intestino curto]]></kwd>
</kwd-group>
</article-meta>
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