Liver and intestinal transplantation in children

Hansen, Kaj; Horslen, Simon

doi:10.1016/j.paed.2009.09.002

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…After liver transplantation, growth rates have been observed to be below normal while children are receiving corticosteroids and then normalize once corticosteroid therapy has stopped. 21 Nucci et al evaluated the use of corticosteroid-based immunosuppression vs corticosteroid-free immunosuppression and the effect on linear growth between transplant and 2 years post-ITx. 7 Twenty-nine children received the immunosuppressive regimen of tacrolimus and corticosteroids (transplanted before May 2002), whereas 80 received rabbit antihuman thymocyte globulin induction followed by tacrolimus (corticosteroid-free regimen) and only received corticosteroids for acute rejection.…”

Section: Growth After Itxmentioning

confidence: 99%

“…A common goal is to maintain a corticosteroid‐free regimen, though some patients remain on low‐dose chronic corticosteroid therapy. After liver transplantation, growth rates have been observed to be below normal while children are receiving corticosteroids and then normalize once corticosteroid therapy has stopped 21 . Nucci et al evaluated the use of corticosteroid‐based immunosuppression vs corticosteroid‐free immunosuppression and the effect on linear growth between transplant and 2 years post‐ITx 7 .…”

Section: Growth After Itxmentioning

confidence: 99%

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Nutrition support considerations in pediatric small bowel transplantation

Nucci,

Crim,

King

et al. 2023

Nut in Clin Prac

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Enteral autonomy is the primary goal of intestinal failure therapy. Intestinal transplantation (ITx) is an option when enteral autonomy cannot be achieved and management complications become life‐threatening. The purpose of this review is to summarize existing medical literature related to nutrition requirements, nutrition status, and nutrition support after pediatric ITx. Achieving or maintaining adequate growth after intestinal transplant in children can be challenging because of episodes of rejection that require the use of corticosteroids, occurrences of infection that require a reduction or discontinuation of enteral or parenteral support, and fat malabsorption caused by impaired lymphatic circulation. Nutrient requirements should be assessed and modified regularly based on nutrition status, growth, ventilatory status, wound healing, and the presence of complications. Parenteral nutrition (PN) should be initiated as a continuous infusion early postoperatively. Enteral support should be initiated after evidence of graft bowel function and in the absence of clinical complications. Foods high in simple carbohydrates should be limited, as consumption may result in osmotic diarrhea. Short‐term use of a fat‐free diet followed by a low‐fat diet may reduce the risk of the development of chylous ascites. Micronutrient deficiencies and food allergies are common occurrences after pediatric ITx. Enteral/oral vitamin and mineral supplementation may be required after PN is weaned. Nutrition management of children after ITx can be challenging for all members of the healthcare team. Anthropometric parameters and micronutrient status should be monitored regularly so that interventions to promote growth and prevent or reverse nutrient deficiencies can be implemented promptly.

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Section: Growth After Itxmentioning

confidence: 99%

Section: Growth After Itxmentioning

confidence: 99%

Nutrition support considerations in pediatric small bowel transplantation

Nucci,

Crim,

King

et al. 2023

Nut in Clin Prac

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CT Angiography of Mesenteric Circulation

Zhao,

Liu,

et al. 2024

Whole Body Computed Tomography Angiography

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An alternative Way for Crossing the Potential Middle-Income Trap—Research Based on Boosting Consumption Share in Expenditure Structure of China

周¹

2017

WER

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How could China avoid the middle-income trap? There are divergent opinions. In this paper, we would like to slightly adjust the problem statement from abstract to concrete, i.e., way of thinking to solve problem should be: How to avoid the middle-income trap with less detours in the process? The problem itself will be clearer by assuming the biggest risk is from uncertainty of consumption in macro level. Through establishment of an inclusive theoretical framework for domestic consumption enhancement in expenditure structure, the present paper tries to find advantageous factors for gradually stimulating consumption in China. Based on the hypothesis of consumers' instant gratification, which is from Pro. Laibson in Harvard University, investment and consumption are found not completely a tradeoff in statistic in long-run, though a high investment rate is more likely a "double-edged sword" in short-run. Narrowing the gap between the average personal disposable incomes of the urban and rural areas, and ensuring a basic investment rate at least for helping employment of people who have farmer identities more or less, will be more helpful to avoid the potential middle income trap of China, while related investment supervision institution probably including loaning innovation should be seriously established for founding more adequate investment paths besides other institutional innovation. Methods of FMOLS and PC analysis are used in detail for finding these findings.

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Liver and intestinal transplantation in children

Cited by 3 publications

References 17 publications

Nutrition support considerations in pediatric small bowel transplantation

Nutrition support considerations in pediatric small bowel transplantation

CT Angiography of Mesenteric Circulation

An alternative Way for Crossing the Potential Middle-Income Trap—Research Based on Boosting Consumption Share in Expenditure Structure of China

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