Pediatric intestinal failure causes growth failure and mortalityin children due to the inability to maintain normal nutritional balance. Short bowel syndrome is the most common cause in pediatric cases,and the residual bowel length is important forpredicting long-term dependence on parenteral nutrition. Based on the possibility that the process of intestinal adaptation in children can continuethroughoutthe first five years, enteral autonomy should be prioritized in the management of intestinal failure. Despite the lack of well-established guidelines, careful advance of enteral feeding and a multidisciplinary team approach are critical foroptimizingsurvival outcomes.