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Pediatric short bowel syndrome: pathophysiology, nursing care, and management issues
L D Jakubik1, A Colfer, M B Grossman
1Children's Hospital of Philadelphia, PA, USA. jakubik@email.chop.edu
Insights
Short bowel syndrome (SBS) in children requires comprehensive management. Advances in nutrition, medications, and surgery have significantly improved patient outcomes.
Area of Science:
- Pediatric Gastroenterology
- Surgical Management
- Nutritional Support
Background:
- Short bowel syndrome (SBS) results from significant loss of small intestine function or anatomy.
- It presents complex challenges in pediatric care.
- Understanding SBS is crucial for effective treatment.
Purpose of the Study:
- To provide a comprehensive overview of short bowel syndrome (SBS) in children.
- To cover etiology, pathophysiology, nursing care, and management strategies.
- To highlight recent advancements impacting patient outcomes.
Main Methods:
- Literature review on short bowel syndrome (SBS).
- Synthesis of information on medical and surgical interventions.
- Analysis of nursing care and nutritional support advancements.
Main Results:
- The etiology and pathophysiology of SBS are multifaceted.
- Current medical and surgical management strategies are evolving.
- Nursing care plays a vital role in managing SBS patients.
Conclusions:
- Recent advancements in parenteral and enteral nutrition have improved the outlook for children with SBS.
- Pharmacologic interventions and surgical options offer further therapeutic benefits.
- Informed nursing practice is essential for optimal care of children and families affected by SBS.
Issues And Purpose:
A comprehensive overview of the etiology, pathophysiology, nursing care, and medical and surgical management of the child with short bowel syndrome (SBS), which follows massive anatomical or functional loss of the small intestine.
Conclusions:
The outlook for children with SBS has improved due to recent advances in parenteral and enteral nutrition, pharmacologic interventions, and surgical options.
Practice Implications:
Nurses whose practice reflects an in-depth knowledge of the etiology, pathophysiology, medical and surgical management, nursing interventions, and complications of SBS will be equipped to provide quality care for children and families affected by SBS.
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