Paediatric intestinal failure and transplantation

被引:7
作者
Yap, Jason Y. K. [1 ,2 ]
Roberts, Amin J. [4 ,5 ]
Bines, Julie E. [1 ,2 ,3 ]
机构
[1] Royal Childrens Hosp, Dept Gastroenterol, Melbourne, Vic, Australia
[2] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
[3] Murdoch Childrens Res Inst, Enter Dis Grp, Melbourne, Vic, Australia
[4] Starship Child Hlth Univ Auckland, Dept Paediat Gastroenterol, Auckland, New Zealand
[5] Natl Intestinal Failure & Rehabil Serv, Auckland, New Zealand
关键词
intestinal failure; intestinal rehabilitation; intestinal transplantation; parenteral nutrition; short bowel syndrome; SHORT-BOWEL SYNDROME; HOME PARENTERAL-NUTRITION; FISH-OIL; REHABILITATION PROGRAMS; LIVER-DISEASE; DOUBLE-BLIND; SOYBEAN OIL; CHILDREN; EMULSION; OUTCOMES;
D O I
10.1111/jpc.15052
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Intestinal failure is a complex and debilitating condition characterised by inadequate small intestinal function requiring parenteral or intravenous nutrition to maintain health and, for children, to enable growth and development. Although parenteral nutrition can be prescribed in many hospitals, children with chronic intestinal failure have improved outcomes when managed at a paediatric centre by a multidisciplinary team with specialised expertise in the comprehensive management of intestinal failure. Recent advances in the medical, surgical and nutritional approach have been effective at optimising intestinal rehabilitation and achieving enteral autonomy while limiting complications of intestinal failure. The role of intestinal transplantation in the management of the child with intestinal failure continues to evolve as an option for children with life-threatening complications of intestinal failure. The aim of this review is to highlight key advances in the care of children with intestinal failure.
引用
收藏
页码:1747 / 1753
页数:7
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