Pediatric intestinal failure.
10.5124/jkma.2014.57.6.508
- Author:
Seak Hee OH
1
;
Kyung Mo KIM
Author Information
1. Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea. kmkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Intestinal failure;
Child;
Nutrition
- MeSH:
Child;
Enteral Nutrition;
Humans;
Mortality;
Parenteral Nutrition;
Short Bowel Syndrome
- From:Journal of the Korean Medical Association
2014;57(6):508-513
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pediatric intestinal failure causes growth failure and mortality in children due to the inability to maintain normal nutritional balance. Short bowel syndrome is the most common cause in pediatric cases, and the residual bowel length is important for predicting long-term dependence on parenteral nutrition. Based on the possibility that the process of intestinal adaptation in children can continue throughout the first five years, enteral autonomy should be prioritized in the management of intestinal failure. Despite the lack of well-established guidelines, careful advance of enteral feeding and a multidisciplinary team approach are critical for optimizing survival outcomes.
