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Multidisciplinary Management in Pediatric Ultrashort Bowel Syndrome

Authors Belza C, Wales PW

Received 28 October 2019

Accepted for publication 27 December 2019

Published 9 January 2020 Volume 2020:13 Pages 9—17

DOI https://doi.org/10.2147/JMDH.S236130

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Christina Belza,1 Paul W Wales1,2

1Group for Improvement of Intestinal Function and Treatment (GIFT), The Hospital for Sick Children, University of Toronto, Toronto, Canada; 2Division of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Canada

Correspondence: Paul W Wales
The Hospital for Sick Children, 555 University Avenue, Rm 1526, Toronto, Ontario M5G 1X8, Canada
Tel +1 416-813-7654 Ext 201490
Email paul.wales@sickkids.ca

Abstract: Pediatric intestinal failure (IF) remains a complex and devastating condition resulting in the inability of the gastrointestinal tract to absorb adequate fluids and nutrients to sustain life. The goal in the management of IF is to achieve enteral autonomy and when not possible to avoid and minimize the development of long-term complications. Survival rates for children with IF have continued to improve resulting in an increased population of children with more altered anatomy. While IF remains a rare disease, children with IF secondary to ultrashort bowel syndrome comprise an even smaller patient population. The goal of this article is to review the recent literature related to the impact of multidisciplinary intestinal rehabilitation programs (IRPs) on the management and outcomes of intestinal failure in children with ultrashort bowel syndrome and potential avenues to further improve the long-term outcomes of this patient population.

Keywords: intestinal failure, ultrashort bowel syndrome, short bowel syndrome, intestinal rehabilitation program


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