Approach to Intestinal Failure in Children
| Autor: | Valeria C. Cohran, Danielle Wendel, Conrad R. Cole |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Short Bowel Syndrome
medicine.medical_specialty Catheterization Central Venous Fat Emulsions Intravenous Parenteral Nutrition Intestinal rehabilitation Teduglutide Enteral administration 03 medical and health sciences chemistry.chemical_compound Liver disease 0302 clinical medicine Enteral Nutrition Intestinal failure Medicine Humans Intensive care medicine Child business.industry Intestinal Pseudo-Obstruction Gastroenterology General Medicine Organ Transplantation medicine.disease Hormones Transplantation Intestines Intestinal Diseases Parenteral nutrition chemistry 030220 oncology & carcinogenesis Chronic Disease 030211 gastroenterology & hepatology business Blood stream |
| Zdroj: | Current gastroenterology reportsPapers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance. 23(6) |
| ISSN: | 1534-312X |
| Popis: | Pediatric intestinal failure is a complex condition requiring specialized care to prevent potential complications. In this article, we review the available evidence supporting recent advances in care for children with intestinal failure. Multidisciplinary intestinal rehabilitation teams utilize medical and surgical management techniques to help patients achieve enteral autonomy (EA) while preventing and treating the complications associated with intestinal failure. Recent advances in lipid management strategies, minimization of intestinal failure associated liver disease, prevention of central line-associated blood stream infections, and loss of access, as well as development of promising new hormone analogue therapy have allowed promotion of intestinal adaptation. These advances have decreased the need for intestinal transplant. There have been recent advances in the care of children with intestinal failure decreasing morbidity, mortality, and need for intestinal transplantation. The most promising new therapies involve replacement of enteroendocrine hormones. |
| Databáze: | OpenAIRE |
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