Insights into medical management of pediatric intestinal failure.

Abstract:

:Medical management of children with Intestinal failure continues to evolve. The development of specialized teams focused on the management of these children has made the most significant impact in improving outcomes. Medical management strategies are centered on the provision of adequate fluid electrolytes and calories to allow for appropriate growth and neurological development. Enteral therapy and drugs are required to enhance bowel adaptation while parenteral nutrition is the main source of nutrients, electrolytes and fluid. Modification in parenteral nutrition with the availability of lipid alternatives are contributing to decreasing incidence of Intestinal failure associated liver disease. Utilization of patient centered central line care bundles has also significantly contributed to the decrease in morbidity and mortality. This review provides insight into the current medical therapy available for managing intestinal failure in children.

journal_name

Semin Pediatr Surg

authors

Oliveira SB,Cole CR

doi

10.1053/j.sempedsurg.2018.07.006

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

256-260

issue

4

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(18)30057-X

journal_volume

27

pub_type

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