The gut in trauma

Jayshil J. Patel, Martin D. Rosenthal, Keith R. Miller, Robert Martindale

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Despite resuscitation, gut dysfunction promotes distant organ injury. In addition, postresuscitation nosocomial and iatrogenic 'hits' exaggerate the immune response, contributing to MODS. This was a provocative concept, suggesting infectious and noninfectious causes of inflammation may trigger, heighten, and perpetuate an inflammatory response culminating in MODS and death. Emerging evidence suggests posttraumatic injury mechanisms, such as intestinal mucosal disruption and shifting of the gut microbiome to a pathobiome. In addition, traumatic brain injury activates the gut-brain axis and increases intestinal permeability.

Original languageEnglish (US)
Pages (from-to)339-346
Number of pages8
JournalCurrent Opinion in Critical Care
Volume22
Issue number4
DOIs
StatePublished - Aug 1 2016

Fingerprint

Multiple Organ Failure
Wounds and Injuries
Resuscitation
Permeability
Inflammation
Brain
Traumatic Brain Injury
Gastrointestinal Microbiome

Keywords

  • gut dysfunction
  • multiple organ dysfunction syndrome
  • trauma

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Patel, J. J., Rosenthal, M. D., Miller, K. R., & Martindale, R. (2016). The gut in trauma. Current Opinion in Critical Care, 22(4), 339-346. https://doi.org/10.1097/MCC.0000000000000331

The gut in trauma. / Patel, Jayshil J.; Rosenthal, Martin D.; Miller, Keith R.; Martindale, Robert.

In: Current Opinion in Critical Care, Vol. 22, No. 4, 01.08.2016, p. 339-346.

Research output: Contribution to journalReview article

Patel, JJ, Rosenthal, MD, Miller, KR & Martindale, R 2016, 'The gut in trauma', Current Opinion in Critical Care, vol. 22, no. 4, pp. 339-346. https://doi.org/10.1097/MCC.0000000000000331
Patel, Jayshil J. ; Rosenthal, Martin D. ; Miller, Keith R. ; Martindale, Robert. / The gut in trauma. In: Current Opinion in Critical Care. 2016 ; Vol. 22, No. 4. pp. 339-346.
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