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Impact of multidisciplinary teams for management of intestinal failure in children

Christina Belza1, Paul W Wales

  • 1aGroup for Improvement of Intestinal Function and Treatment (GIFT) bDivision of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Current Opinion in Pediatrics
|April 6, 2017
PubMed

Insights

Pediatric intestinal rehabilitation programs (IRPs) improve survival and enteral autonomy in children with intestinal failure. These programs also reduce complications, though methodological limitations exist in current literature.

Area of Science:

  • Pediatric Gastroenterology
  • Intestinal Failure Management
  • Clinical Nutrition

Background:

  • Intestinal failure (IF) in children presents significant management challenges.
  • Intestinal rehabilitation programs (IRPs) have emerged as a critical intervention.
  • Recent literature continues to evaluate the efficacy of IRPs in pediatric populations.

Purpose of the Study:

  • To systematically review recent literature on the impact of pediatric intestinal rehabilitation programs (IRPs).
  • To assess the effect of IRPs on the management of intestinal failure in children.

Main Methods:

  • Literature search for publications post-2013 systematic review on pediatric IRPs.
  • Analysis of four additional publications detailing IRP impact.
  • Evaluation of outcomes including survival, enteral autonomy, and complication rates.

Main Results:

  • Continued evidence supports improved survival rates with pediatric IRPs.
  • Ent腸al autonomy is enhanced in children undergoing IRP.
  • IRPs are associated with a reduction in complications, including liver dysfunction, central venous catheter issues, and need for transplantation.

Conclusions:

  • Pediatric IRPs provide substantial benefits for children with intestinal failure.
  • Methodological limitations in current studies hinder definitive interpretation.
  • Enhanced collaboration in IRP research is crucial for future advancements in the field.
Abstract

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