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[THE WORLD EXPERIENCE OF THE PEDIATRIC INTESTINAL FAILURE PROGRAM: SUCCESSFUL OUTCOMES FROM INTESTINAL

Benyamine Abbou, Igor Sukhotnik, Amnon Rofe

    Harefuah
    |February 23, 2016
    PubMed

    Insights

    Pediatric short bowel syndrome management is optimized through coordinated care, including nutrition support and transplantation. Early intervention at specialized centers improves outcomes for infants with intestinal failure.

    Area of Science:

    • Pediatric gastroenterology and surgery
    • Intestinal failure and rehabilitation

    Context:

    • Short bowel syndrome (SBS) presents complex challenges in pediatric patients.
    • Effective management requires a multidisciplinary approach involving nutrition, medical, and surgical interventions.
    • The establishment of Pediatric Intestinal Failure Centers and the Pediatric Intestinal Failure Consortium signifies a concerted effort to improve care.

    Purpose:

    • To define optimal management strategies for pediatric intestinal failure.
    • To evaluate the effectiveness of interdisciplinary care models in improving long-term outcomes.
    • To assess the impact of specialized intestinal rehabilitation centers on patient survival and treatment efficacy.

    Summary:

    • Management of pediatric short bowel syndrome is optimized through coordinated parenteral/enteral nutrition, complication management, surgical procedures, and transplantation.
    • Prospective studies by the Pediatric Intestinal Failure Consortium suggest intestinal failure is treatable, advocating for aggressive management and early referral to rehabilitation centers.
    • Integration with transplant services has led to earlier assessment, reduced transplantation rates, and decreased liver failure mortality.

    Impact:

    • Demonstrates excellent survival rates in complex pediatric intestinal failure cases.
    • Highlights the treatability of pediatric intestinal failure with dedicated, aggressive management.
    • Supports the early referral of at-risk infants to specialized intestinal rehabilitation centers for improved outcomes.

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