title: [INTESTINAL FAILURE IN PEDIATRIC PATIENTS: EXPERIENCE AND MANAGEMENT BY A MULTIDISCIPLINARY GROUP].
abstract: BACKGROUND
  institutions with multidisciplinary teams have shown improvements in patient outcomes with intestinal failure. Multidisciplinary approach allows an integral management and effective communication between families and care teams.
  
  
  OBJECTIVE
  describe the multidisciplinary management and outcome in pediatric patients with intestinal failure.
  
  
  METHODS
  retrospective study in patients 18 years old or less, with intestinal failure and Total Parenteral Nutrition (TPN) required. Simple frequencies and percentages were used for qualitative variables, and central tendency and dispersion measures were used for quantitative variables.
  
  
  RESULTS
  33 patients with a median follow up of 281 days were evaluated. The median duration of the TPN was 68 days and the mean of catheter-related infections was 2.26 per patient. In 31 patients oral or enteral nutrition was provided, starting in 61.3% of cases through tube and continuous infusion. As concomitant treatment 72.7% of children received ursodeoxycholic acid, 67.7%, cholestyramine 57.6% loperamide, 48.5% antibiotics and 36.4% probiotic. The families of 24 patients were evaluated by social work professionals. Intestinal autonomy was achieved in 69.7% of cases, 72.7% of them showed an improvement in the score z of weight and showed an end albumin significantly higher than the initial (p value: 0.012).
  
  
  CONCLUSIONS
  the management of patients with intestinal failure is a challenge for health institutions and require care based on a standardized protocol and a multidisciplinary group.
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Adriana
authors.initials: A
authors.lastname: Giraldo Villa
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: Martínez Volkmar
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Andrés Felipe
authors.initials: AF
authors.lastname: Valencia Quintero
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Diana Catalina
authors.initials: DC
authors.lastname: Montoya Delgado
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Catherine
authors.initials: C
authors.lastname: Henao Roldan
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Patricia
authors.initials: P
authors.lastname: Ruiz Navas
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Fanny
authors.initials: F
authors.lastname: García Loboguerrero
authors.affiliation: Grupo de Soporte Nutricional Pediátrico del Hospital Pablo Tobón Uribe. Colombia.. agiraldov.giraldo@gmail.com.
authors.forename: Mónica María
authors.initials: MM
authors.lastname: Contreras Ramírez
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000628:therapy*; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects / Q000379:methods; D010348:Patient Care Team / Q000458:organization & administration*; D012189:Retrospective Studies; D012778:Short Bowel Syndrome / Q000628:therapy; D016896:Treatment Outcome