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Clinical assessment of the child with intestinal failure

Jason S Soden1

  • 1Section of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Colorado Denver School of Medicine and The Children's Hospital, Aurora, Colorado 80045, USA. Soden.jason@tchden.org

Seminars in Pediatric Surgery
|February 4, 2010
PubMed

Insights

Managing pediatric intestinal failure requires a multidisciplinary team to prevent and treat complications like infections and liver disease, improving patient outcomes and survival.

Area of Science:

  • Pediatric Gastroenterology
  • Intestinal Failure Management
  • Multispecialty Care

Background:

  • Pediatric intestinal failure (IF) management is complex and evolving.
  • Patients face risks of medical, surgical, and nutritional complications.
  • Catheter-associated infections and IF-associated liver disease (IFALD) impact outcomes.

Purpose of the Study:

  • To highlight the complexity of pediatric intestinal failure management.
  • To emphasize the need for a multispecialty approach.
  • To underscore the importance of anticipating and managing complications.

Main Methods:

  • Clinical assessment of pediatric IF patients.
  • Evaluation within the context of prognostic factors.
  • Multidisciplinary team approach involving surgeons, gastroenterologists, and dietitians.

Main Results:

  • Anticipation and appropriate management of complications are crucial.
  • Catheter-associated infections and IFALD significantly affect bowel adaptation and survival.
  • Clinical assessment must consider prognostic factors for effective management.

Conclusions:

  • Pediatric intestinal failure necessitates expert, multispecialty team management.
  • Proactive prevention and treatment of complications are vital for improving patient survival and adaptation.
  • A comprehensive clinical assessment incorporating prognostic factors is essential.

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