Intestinal failure

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Sammanfattning

Pediatric intestinal failure (IF) is an increasingly encountered complex condition in which the intestinal tract is unable to absorb the required amount of fluids and energy to maintain normal growth and development. Pediatric IF is most commonly due to short bowel syndrome (SBS) resulting from surgical resection for congenital or acquired gastrointestinal diseases. Other causes of IF are intestinal dysmotility syndromes and enteropathies. Patients with IF require long-term parenteral nutrition (PN) support and individualized multidisciplinary management while intestinal adaptation enables gradual achievement of enteral autonomy (i.e. weaning off PN) in most. Although recent advances in IF patient care have led to significant improvements in overall morbidity and mortality, these patients continue to be at risk for multiple complications, including IF-associated liver disease (IFALD), recurrent septic episodes, central line complications, intestinal bacterial overgrowth, metabolic bone disease, impaired renal function, failure to thrive, neurocognitive impairment and decreased quality of life (QoL). In this chapter we will discuss the etiology, pathophysiology, related complications, prognosis and treatment options of pediatric IF.

Originalspråkengelska
Titel på värdpublikationEssential Paediatric Surgery : A Practical Guide
RedaktörerPaul D. Losty, Martin T. Corbally
Antal sidor5
FörlagCRC press
Utgivningsdatum1 jan. 2024
Utgåva1st ed.
Sidor87-91
ISBN (tryckt)978-1-032-02192-8
ISBN (elektroniskt)978-1-003-84745-8
DOI
StatusPublicerad - 1 jan. 2024
MoE-publikationstypA3 Del av bok eller annan forskningsbok

Bibliografisk information

Publisher Copyright:
© 2024 selection and editorial matter, Martin Corbally and Paul Losty; individual chapters, the contributors.

Vetenskapsgrenar

  • 3123 Kvinno- och barnsjukdomar
  • 3126 Kirurgi, anestesiologi, intensivvård, radiologi

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