Nutritional outcome and growth of children after intestinal transplantation

Iyer, Kishore; Horslen, Simon; Iverson, Angie; Sudan, Debra; Fox, Ira J.; Shaw, Byers W.; Langnas, Alan Norman

doi:10.1053/jpsu.2002.30864

Cited by 56 publications

(31 citation statements)

References 7 publications

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“…34 After transplantation, 80% to 95% of children become independent of PN, grow normally and attend school. 1,27,46,47 FIGURE 3. Selected one-way sensitivity analyses.…”

Section: Discussionmentioning

confidence: 99%

The Optimal Timing of Intestinal Transplantation for Children With Intestinal Failure

Lopushinsky¹,

Fowler²,

Kulkarni³

et al. 2007

Annals of Surgery

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“…34 After transplantation, 80% to 95% of children become independent of PN, grow normally and attend school. 1,27,46,47 FIGURE 3. Selected one-way sensitivity analyses.…”

Section: Discussionmentioning

confidence: 99%

The Optimal Timing of Intestinal Transplantation for Children With Intestinal Failure

Lopushinsky¹,

Fowler²,

Kulkarni³

et al. 2007

Annals of Surgery

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“…We have reported that, in our patients, hyperphagia often compensated for suboptimal energy absorption and steatorrhoea, thus resulting in normal growth (13). Few studies have described the capacity of absorption of the allograft (14)(15)(16)(17)(18). Our aim here was to analyze more precisely the net intestinal absorption rates in children early after ITx at the time of PN weaning.…”

Section: Introductionmentioning

confidence: 97%

Intestinal absorption rate in children after small intestinal transplantation

Ordonez

Barbot-Trystram²,

Lacaille³

et al. 2013

The American Journal of Clinical Nutrition

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“…In our intestinal transplant patients, we also see no catch-up in linear growth if the child is stunted going into transplantation. 22 There are also published data indicating that infants and children who are stunted before liver transplantation for other indications may also not show adequate catch-up growth. 23 One patient eats a normal diet, but the dependence on supplemental enteral tube feeding in five of the six patients off parenteral nutrition is not unexpected.…”

Section: Discussionmentioning

confidence: 99%

Isolated Liver Transplantation in Infants With End-Stage Liver Disease Associated With Short Bowel Syndrome

Horslen

Sudan²,

Iyer³

et al. 2002

Annals of Surgery

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ObjectiveTo evaluate experience with isolated orthotopic liver transplantation in children with liver failure associated with short bowel syndrome (SBS). Summary Background DataInfants who have liver failure as a result of SBS are frequently referred for consideration for combined liver and small bowel transplantation. In a few patients the liver disease develops despite a seemingly adequate bowel, which if given time and appropriate management has the potential for full enteral adaptation. There is a limited literature suggesting the utility of OLT without replacement of the native bowel. The advantages over combined liver and small bowel transplantation are clear: organ availability is greater, liver-reduction techniques are well established, lower immunosuppression is required, and there is greater experience in the care of children after orthotopic liver transplantation. MethodsEleven infants, considered to have a good prospect of eventual gut adaptation to full enteral nutrition if it were not for their advanced liver disease, underwent isolated orthotopic liver transplantation. Age range was 6.5 to 17.7 months. All patients had been dependent on parenteral feeding but had also shown significant enteral tolerance at some time before listing for transplantation. Advanced liver disease was apparent both clinically and on histologic examination. All were jaundiced and had low albumin levels, and most had coagulopathy. As a group the infants had growth retardation. Estimated remaining length of small bowel beyond the ligament of Treitz was in the range of 25 to more than 100 cm. Six infants retained their ileocecal valve.

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Nutritional outcome and growth of children after intestinal transplantation

Cited by 56 publications

References 7 publications

The Optimal Timing of Intestinal Transplantation for Children With Intestinal Failure

The Optimal Timing of Intestinal Transplantation for Children With Intestinal Failure

Intestinal absorption rate in children after small intestinal transplantation

Isolated Liver Transplantation in Infants With End-Stage Liver Disease Associated With Short Bowel Syndrome

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