J Korean Med Assoc.  2014 Jun;57(6):508-513. 10.5124/jkma.2014.57.6.508.

Pediatric intestinal failure

• Oh SH
• Kim KM

• KMID: 1958088
• DOI: http://doi.org/10.5124/jkma.2014.57.6.508

Abstract

Pediatric intestinal failure causes growth failure and mortality in children due to the inability to maintain normal nutritional balance. Short bowel syndrome is the most common cause in pediatric cases, and the residual bowel length is important for predicting long-term dependence on parenteral nutrition. Based on the possibility that the process of intestinal adaptation in children can continue throughout the first five years, enteral autonomy should be prioritized in the management of intestinal failure. Despite the lack of well-established guidelines, careful advance of enteral feeding and a multidisciplinary team approach are critical for optimizing survival outcomes.

Keyword

Intestinal failure; Child; Nutrition

MeSH Terms

Child
Enteral Nutrition
Humans
Mortality
Parenteral Nutrition
Short Bowel Syndrome

Figure

• 

  Figure 1 Example of treatment flow for children with intestinal failure at Asan Medical Center Children's Hospital. HA, hypoallergic; TPN, total parenteral nutrition; STEP, serial transverse enteroplasty.

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