Abstract

RAMIREZ PRADA, Dianna  and  DEL CASTILLO CALDERON, Gabriel. Short Bowel Syndrome, a Case of Intestinal Rehabilitation. Rev. Cienc. Salud [online]. 2015, vol.13, n.2, pp.309-316. ISSN 1692-7273.  https://doi.org/10.12804/revsalud13.02.2015.12.

Short bowel syndrome with progression to intestinal failure in children is a condition whose prevalence is increasing worldwide, thanks to advances in neonatal intensive care, neonatal surgery, and nutritional support of patients with conditions such as gastroschisis, omphalocele and enterocolitis. Objective: To present the successful experience of multidisciplinary management of a patient with short bowel syndrome and intestinal failure with progression to intestinal adaptation. Clinical case: A newly born premature with intestinal atresia type IV with multiple intestinal atresia, which evolved to intestinal failure and required management with prolonged parenteral nutritional support, multiple antibiotic schemes, prebiotics, multivitamins, enteral nutrition with elemental formula, in order to achieve their intestinal adaptation and enabling a normal diet. The evolution of these patients' intestinal failure is a challenge for the health team, as it not only involves the surgical management of the patient's condition, but the basic nutritional support, the fluid and electrolyte balance, hepatic dysfunction due to cholestasis associated infections, etc. Conclusion: Despite the limitations of our health care system, it is possible to offer a multidisciplinary and integrated treatment to lead to intestinal adaptation.

Keywords : Short bowel syndrome; intestinal failure; intestinal adaptation.

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