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Published on: December 1, 2012
Management of pediatric intestinal failure related to short bowel syndrome
Christina Belza1, Paul W Wales2
1Group for Improvement of Intestinal Function and Treatment (GIFT), The Hospital for Sick Children, University of Toronto, Canada.
Insights
Children with intestinal failure (IF) due to short bowel syndrome benefit from surgical strategies preserving bowel function. Novel techniques and reconstruction improve outcomes and enteral autonomy, reducing long-term complications.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Intestinal rehabilitation
Background:
- Intestinal failure (IF) secondary to short bowel syndrome presents complex challenges.
- Advancements have improved survival rates in affected children.
- These children require intensive management for long-term complications.
Purpose of the Study:
- To review the literature on surgical care for pediatric intestinal failure.
- To emphasize strategies for bowel preservation and function maximization.
- To highlight the impact of surgical interventions on enteral autonomy.
Main Methods:
- Literature review focusing on surgical aspects of pediatric intestinal failure.
- Analysis of strategies for bowel preservation and reconstruction.
- Examination of novel surgical techniques and their outcomes.
Main Results:
- Surgical strategies significantly impact bowel function and enteral autonomy.
- Autologous bowel reconstruction offers substantial benefits.
- Early detection and mitigation of long-term complications are crucial.
Conclusions:
- Surgical care is pivotal in managing pediatric intestinal failure.
- Preserving and maximizing bowel function through advanced techniques improves patient outcomes.
- Comprehensive management, including risk mitigation, is essential for long-term success.
Abstract:
Intestinal failure (IF) secondary to short bowel syndrome is a challenging and complex medical condition with significant risk for surgical and medical complications. Significant advancements in the care of this patient population have led to improved survival rates. Due to their intensive medical needs children with IF are at risk for long-term complications that require comprehensive management and close monitoring. The purpose of this paper is to review the available literature emphasizing the surgical aspects of care for children with IF secondary to short bowel syndrome. A key priority in the surgical care of this patient population includes strategies to preserve available bowel and maximize its function. Utilization of novel surgical techniques and autologous bowel reconstruction can have a significant impact on children with IF secondary to short bowel syndrome related to the function of their bowel and ability to achieve enteral autonomy. It is also important to understand the potential long-term complications to ensure strategies are put in place to mitigate risk with early detection to improve long-term outcomes.
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