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[Intestinal rehabilitation for children with short bowel syndrome].
Ned Tijdschr Geneeskd. 2005 Feb 19; 149(8):413-7.NT

Abstract

Three children, 2 boys aged 5 and 4 years, and 1 girl aged 2 years, who suffered from intestinal failure as a result of a short bowel syndrome and who were dependent on total parenteral nutrition (TPN), were screened for small bowel transplantation. The girl also had progressive liver failure. Each child had a clear indication for either isolated small bowel or combined small bowel/liver transplantation. All three children were enrolled in an intestinal rehabilitation program because they were referred early. The intestinal rehabilitation consisted of a systematic analysis of the absorptive capacity of the residual intestine, optimizing enteral and parenteral feeding, prevention of catheter sepsis and further deterioration of liver function. The rehabilitation was performed in an in-patient setting. All three children were partially weaned from TPN, while their growth improved. None of the children were consequently listed for small bowel transplantation. When a child is initially referred for small bowel transplantation, intestinal rehabilitation should be considered as part of an intestinal transplantation program.

Authors+Show Affiliations

Afd. Kindergeneeskunde, Universitair Medisch Centrum Groningen, Beatrix Kinderkliniek, Postbus 30.001, 9700 RB Groningen.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

15751321

Citation

Dijkstra, T, et al. "[Intestinal Rehabilitation for Children With Short Bowel Syndrome]." Nederlands Tijdschrift Voor Geneeskunde, vol. 149, no. 8, 2005, pp. 413-7.
Dijkstra T, Dijkstra G, Bijleveld CM, et al. [Intestinal rehabilitation for children with short bowel syndrome]. Ned Tijdschr Geneeskd. 2005;149(8):413-7.
Dijkstra, T., Dijkstra, G., Bijleveld, C. M., & Rings, E. H. (2005). [Intestinal rehabilitation for children with short bowel syndrome]. Nederlands Tijdschrift Voor Geneeskunde, 149(8), 413-7.
Dijkstra T, et al. [Intestinal Rehabilitation for Children With Short Bowel Syndrome]. Ned Tijdschr Geneeskd. 2005 Feb 19;149(8):413-7. PubMed PMID: 15751321.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Intestinal rehabilitation for children with short bowel syndrome]. AU - Dijkstra,T, AU - Dijkstra,G, AU - Bijleveld,C M A, AU - Rings,E H H M, PY - 2005/3/9/pubmed PY - 2005/4/9/medline PY - 2005/3/9/entrez SP - 413 EP - 7 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 149 IS - 8 N2 - Three children, 2 boys aged 5 and 4 years, and 1 girl aged 2 years, who suffered from intestinal failure as a result of a short bowel syndrome and who were dependent on total parenteral nutrition (TPN), were screened for small bowel transplantation. The girl also had progressive liver failure. Each child had a clear indication for either isolated small bowel or combined small bowel/liver transplantation. All three children were enrolled in an intestinal rehabilitation program because they were referred early. The intestinal rehabilitation consisted of a systematic analysis of the absorptive capacity of the residual intestine, optimizing enteral and parenteral feeding, prevention of catheter sepsis and further deterioration of liver function. The rehabilitation was performed in an in-patient setting. All three children were partially weaned from TPN, while their growth improved. None of the children were consequently listed for small bowel transplantation. When a child is initially referred for small bowel transplantation, intestinal rehabilitation should be considered as part of an intestinal transplantation program. SN - 0028-2162 UR - https://www.unboundmedicine.com/medline/citation/15751321/[Intestinal_rehabilitation_for_children_with_short_bowel_syndrome]_ L2 - http://www.diseaseinfosearch.org/result/6576 DB - PRIME DP - Unbound Medicine ER -