Conditions
Conditions we treat
AIRI cares for adults and transition-age young adults whose intestines cannot absorb enough nutrition, fluid, or electrolytes to maintain health without intravenous support.
Primary indications
Short bowel syndrome and structural loss
- Mesenteric ischemia or thrombosis with extensive small bowel resection
- Multiple resections for Crohn's disease leading to short bowel syndrome
- Trauma or oncologic resections resulting in loss of bowel length
- Enterocutaneous fistula or high-output stoma causing functional short bowel
- Pediatric-onset causes in transition patients: NEC-related short bowel, intestinal atresia, malrotation or volvulus, gastroschisis, omphalocele
Motility and neuromuscular disorders
- Chronic intestinal pseudo-obstruction
- Severe intestinal dysmotility not responding to standard therapy
- Hirschsprung disease and related motility disorders persisting into adulthood
Mucosal and inflammatory disorders
- Complicated Crohn's disease or other inflammatory conditions causing intestinal failure
- Congenital enteropathies and chronic diarrheal disorders in transition-age patients, including microvillus inclusion disease, tufting enteropathy, and autoimmune enteropathy
- Radiation enteritis and severe malabsorption
Complications of long-term parenteral nutrition
- Intestinal failure–associated liver disease or PN-associated cholestasis
- Recurrent catheter-related bloodstream infection or limited central venous access
- Metabolic complications, including electrolyte disturbance and metabolic bone disease
Who the program is for
Adults 18 and older diagnosed with intestinal failure, or at high risk for recurrent intestinal failure — including those who depend on parenteral nutrition for 60–90 days or longer, and those recently off parenteral nutrition with borderline bowel length or a high-output stoma or fistula.
Transition-age adolescents and young adults, typically 16–25, graduating from pediatric intestinal rehabilitation programs who remain PN-dependent or have significant residual intestinal dysfunction requiring specialized follow-up.
When a referral is usually not the right fit
- Patients with adequate intestinal length and absorptive function who can maintain nutrition orally or with standard tube feeding, without parenteral nutrition
- Isolated functional bowel disorders such as IBS, without structural, motility, or mucosal disease and without intestinal failure
- Patients whose primary need is palliative care for advanced non-intestinal disease — although co-management is available when intestinal failure is also present
Not sure whether a patient fits? Call (209) 313-4433 and ask for the referral coordinator. A brief conversation is often faster than a formal referral.