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Tissue Engineering of the Intestine in a Murine Model
08:45

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Published on: December 1, 2012

Pediatric intestinal failure and vascular access.

Biren P Modi1, Tom Jaksic

  • 1Department of Surgery and Center for Advanced Intestinal Failure, Children's Hospital Boston and Harvard Medical School, Fegan 3, 300 Longwood Avenue, Boston, MA 02115, USA. biren.modi@childrens.harvard.edu

The Surgical Clinics of North America
|May 19, 2012
PubMed
Summary

Advances in intestinal failure (IF) care have significantly improved patient survival rates to over 90%. Specialized, multidisciplinary approaches are crucial for managing these complex cases effectively.

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Innovation
  • Critical Care Medicine

Background:

  • Intestinal failure (IF) patients represent a complex group requiring specialized care.
  • Historically, IF management posed significant challenges to patient prognosis.
  • Recent advancements have transformed the outlook for IF patients.

Purpose of the Study:

  • To highlight recent developments in IF patient care.
  • To underscore the importance of multidisciplinary approaches.
  • To discuss innovations improving IF patient outcomes.

Main Methods:

  • Review of recent advancements in parenteral and enteral nutrition.
  • Evaluation of novel treatments for IF-associated liver disease (IFALD), including fish oil.
  • Assessment of strategies for managing catheter-associated bloodstream infections (CABSI), such as ethanol lock therapy.
  • Analysis of new surgical interventions like serial transverse enteroplasty (STEP).

Main Results:

  • Survival rates for IF patients now exceed 90% due to improved care.
  • Parenteral fish oil shows promise in managing IFALD.
  • Ethanol lock therapy is effective in preventing/treating CABSI.
  • Surgical options like STEP offer new avenues for treatment.

Conclusions:

  • The field of intestinal failure care is rapidly evolving with promising outcomes.
  • Multidisciplinary, specialized care is paramount for complex IF patients.
  • Continued innovation in nutrition, infection control, and surgery will further enhance patient prognosis.