[Intestinal rehabilitation for children with short bowel syndrome].
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.
Dijkstra
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Afd. Kindergeneeskunde, Universitair Medisch Centrum Groningen, Beatrix Kinderkliniek, Postbus 30.001, 9700 RB Groningen.
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Bijleveld
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D002675:Child, Preschool; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation; D016031:Liver Transplantation; D008297:Male; D010289:Parenteral Nutrition, Total; D012778:Short Bowel Syndrome / Q000534:rehabilitation* / Q000601:surgery / Q000628:therapy; D016896:Treatment Outcome