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Intestinal Rehabilitation

(Center for Gut Rehabilitation)

Intestinal Rehabilitation works as an integrated part of the Center for Gut Rehabilitation and Transplantation. The goal is to improve the function of any remaining bowel, so that a patient can return to a more normal life. The staff accomplish this with intensive nutrition counseling, oral rehydration solutions, techniques using enteral feeding, medications, growth factors, and, if necessary, restorative surgery including transplantation.

The Center is one of the largest and most comprehensive programs in the world, and has developed a multidisciplinary approach that includes an Intestinal Rehabilitation and Nutrition Support program that coincides with the surgical and transplantation aspect.

The establishment of an integrated intestinal rehabilitation and transplantation program provides patients with a unique opportunity to be evaluated, supported and treated by a world class team of medical and surgical specialists in gastrointestinal diseases, PN experts and transplant surgeons in a comprehensive coordinated facility.

The American Society for Parenteral and Enteral Nutrition (ASPEN) recognizes Cleveland Clinic as a center of excellence in nutrition support. The Digestive Disease Institute offers patients with many types of illnesses affecting the gastrointestinal system a comprehensive “one stop service” that includes diagnostic tools, medical treatment, nutrition support and surgical treatment when indicated.

An individual seeking consultation from our intestinal rehabilitation program can expect to go through a comprehensive assessment to determine the absorptive function of the gastrointestinal tract and establish if any nutritional deficiencies exist. A diet prescription can then be personalized based on the structure and function of the remaining gastrointestinal tract. Intensive diet instruction is provided to teach which foods and liquids will be most readily absorbed. Medications are also prescribed to improve digestive and absorptive function of the remaining bowel. A small number of patients have been found to have bowel out-of-circuit as a result of previous surgery. Sometimes, this can be put back into continuity with the rest of the usable bowel, so that absorptive function can be improved.

We can also assist with enhancing bowel adaptation in patients with intestinal failure in order to decrease reliance on parenteral nutrition. Additionally, these patients may be candidates for growth factors to help promote adaptation of the bowels and decrease their reliance on parenteral nutrition.

IRTP
Donald F. Kirby, MD, FACP, FACN, FACG, AGAF, CNSC, CPNS

Title: Director, Center for Human Nutrition
Education: Fellowship: Northwestern Memorial Hospital, Gastroenterology/Nutrition, Chicago, IL
Medical School: George Washington University School of Medicine, Washington, DC
Undergraduate: B.S. with Special Honors in Zoology, George Washington University, Washington, DC
Specialty Area: Nutrition Support, Enteral Access
Board Certifications: American Board of Internal Medicine; American Board of Nutrition; Gastroenterology Subspecialty Board; National Board of Nutrition Support Certification; American Board of Physician Nutrition Specialists
Memberships: American College of Physicians, Fellow; American College of Nutrition, Fellow; American College of Gastroenterology, Fellow; American Gastroenterological Association, Fellow; American Society of Parenteral and Enteral Nutrition; American Society for Clinical Nutrition; American Institute of Nutrition
Other: Founding Father of the Virginia Chapter, American Society of Parenteral and Enteral Nutrition; Physician-at-Large (Ohio Society for Parenteral and Enteral Nutrition)

IRTP
Abdullah Shatnawei, MD

Education: McMaster University Faculty of Health Sciences; Cleveland Clinic Clinical Nutrition; Fairview General Hospital; Medical School - Jordan University of Science and Technology
Specialty Area: Celiac disease, constipation and diarrhea, gastrointestinal endoscopy, gastroesophageal reflux disease, GI motility disorders, H. pylori infection, inflammatory bowel disease including ulcerative colitis and Crohn's Disease, intestinal transplantation, insulin resistance, malabsorption, management of enteral and parenteral nutrition, motility disorders, nutritional problems as they relate to the GI tract, short bowel syndrome

IRTP
Manal Mahmoud, MD

Education: Cleveland Clinic Internal Medicine; Huron Hospital; Medical School - Albaath University
Specialty Area: Gastroenterology and Hepatology

IRTP
Karen Giaco, MS, RD, LD, CNSD

Title: Manager, Home Nutrition Support and Center for Gut Rehabilitation and Transplantation
Education: MS Nutrition and Dietetics, University of Akron, Ohio; BS Chemistry, John Carroll University, University Heights, Ohio; Coordinated Undergraduate Program: University of Akron, Ohio
Specialty Area: Home Parenteral Nutrition, Nutrition Support
Other: Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Parenteral and Enteral Nutrition; Member of Academy of Nutrition and Dietetics; Clinical Nutrition Management DPG; Member of Ohio Dietetic Association

Mary Jo Alberino, RD, LD, CNSC

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: BS Nutrition, University of Akron, Ohio
Dietetic Internship: Cleveland Clinic, Cleveland, Ohio
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure, Intestinal Failure-Associate Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Home Nutrition Support, Parenteral Nutrition, Enteral Nutrition, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-focused Physical Exam, Body Composition
Other: Member of Academy of Nutrition and Dietetics; Member of American Society of Parenteral and Enteral Nutrition; Member of Ohio Society of Parenteral and Enteral Nutrition

Lisa Moccia, RD, LD

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: BS Applied Science Food and Nutrition, Youngstown State University, Ohio
Coordinated Undergraduate Program, Youngstown State University, Ohio
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure, Intestinal Failure-Associate Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Home Nutrition Support, Parenteral Nutrition, Enteral Nutrition, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-focused Physical Exam, Body Composition
Other: Member of Academy of Nutrition and Dietetics; Member of Dietitians in Nutrition Support Group; Member of American Society of Parenteral and Enteral Nutrition

Cassandra Pogatschnik RD, LD, CNSC

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: BS Nutrition and Food, University of Minnesota, Minneapolis/St. Paul
Coordinated Undergraduate Program, University of Minnesota
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure, Intestinal Failure-Associate Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Home Nutrition Support, Parenteral Nutrition, Enteral Nutrition, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-focused Physical Exam, Body Composition
Other: Member of Academy of Nutrition and Dietetics; Member of American Society of Enteral and Parenteral Nutrition

Jill Brown, MS, RD, LD

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: BA, Kent State University, Kent, Ohio;
MS Public Health Nutrition, Case Western Reserve University, Cleveland, Ohio
Dietetic Internship: Public Health Nutrition, Case Western Reserve University, Cleveland, Ohio
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure--Associated Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Home Nutrition Support, Parenteral Nutrition, Enteral Nutrition, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-focused Physical Exam, Body Composition, Weight Management, Eating Disorders, Body Image, Nutrition and Mental Health
Other: Member Academy of Nutrition and Dietetics

Anne Furman, RD, LD

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: BA Economics, Marketing, and Mathematics, Saint Mary's College, Notre Dame, Indiana
BS Dietetics, University of Akron, Ohio; Coordinated Undergraduate Program, University of Akron
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure, Intestinal Failure-Associated Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Home Nutrition Support, Parenteral Nutrition, Enteral Nutrition, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-Focused Physical Exam, Body Composition
Other: Member of the Academy of Nutrition and Dietetics, Member of American Society of Parenteral and Enteral Nutrition

Lindsay Dowhan, MS, RD, CSO, LD, CNSC

Title: Center for Gut Rehabilitation and Transplantation Dietitian
Education: MS Nutrition, Wayne State University, Detroit, MI; Post-Bachelor Certificate, Dietetics, Wayne State University, Detroit, MI; BA Honors Psychology, University of Windsor, Canada
Specialty Area: Intestinal Rehabilitation, Intestinal Transplant, Short Bowel Syndrome, Intestinal Failure, Intestinal Failure-Associated Liver Disease, Small Bowel Bacterial Overgrowth, Renal Oxalate Stones, Plasma Citrulline, Malabsorption, Gastrointestinal Nutrition, Nutrition Support, Fluid and Electrolyte Management, Vitamin and Mineral Status, Nutrition-Focused Physical Exam
Other: Board Certified Specialist Oncology Nutrition; Member of Academy of Nutrition and Dietetics; Member of Ohio Dietetic Association; Member of American Society for Parenteral and Enteral Nutrition

Tom Pemberton, DTR

Title: Center for Gut Rehabilitation and Transplantation Dietetic Technician
Education: AAS Dietetic Technology, Cuyahoga Community College
Specialty Area: Intestinal Rehabilitation and Transplant Program, Colorectal Surgery, Celiac Disease
Other: Member of Academy of Nutrition and Dietetics; Member of Cleveland Dietetic Association

9500 Euclid Ave. A10
Cleveland, OH 44195
216.444.5957

If you or a loved one would like a second opinion from a top specialist at Cleveland Clinic, but may be disabled or find it too difficult to travel, we offer MyConsult.  The MyConsult program is an online medical second opinion that connects you to our physician experts who will review your medical records and diagnostic tests to assess your suitability for transplant.

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To find a digestive specialist for your needs, contact the Digestive Disease Institute at 216.444.7000 (or toll-free 1.800.223.2273, ext. 47000)

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