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Pediatric Core Curriculum 2nd Ed Downloadable Content: Chapter 27, Intestinal Failure
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A.S.P.E.N. Pediatric Core Curriculum 2nd Ed Downloadable Content: Chapter 27, Intestinal Failure

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Chapter 27: Intestinal Failure
Robert H. Squires, MD
Kishore R. Iyer, MBBS, FRCS, FACS

Contributors and Peer Reviewers
Foreword and Preface

Chapter 27 Contents


Definition of Intestinal Failure   

Scope of the Problem

Etiology of Intestinal Failure     

Intestinal Adaptation  


Enteral Nutrition
Parenteral Nutrition
Fluid Management
Nontransplant Surgery
General Principles


Nutrition Deficiencies
Functional and Metabolic Complications
Liver Disease
Central Line Complications


              Growth and Development
Quality of Life
Intestinal Transplant

Learning Objectives

  1. Understand that while intestinal length is important, it is not the only factor that determines a child’s ability to reach enteral autonomy.

  2. Understand that the intestinal adaptive process takes months and even years before enteral autonomy can, if ever, be achieved.

  3. Describe why enteral nutrition is necessary for intestinal adaptation to occur.

  4. Explain how lipid-lowering strategies for soy-based lipid preparations or substitution with a fish oil–based lipid can improve serum aminotransferase levels and reduce serum bilirubin.

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