Intestinal rehabilitation
Patients with intestinal failure have a difficult time maintaining normal growth and development because their intestine may not function properly. There are many disorders, including gastroschisis and necrotizing enterocolitis (NEC), that cause the intestine to not work properly. Often times, patients with those disorders need surgery to have a large portion of the intestine removed and will then only have a part of the small intestine remaining. Our team works to improve gastrointestinal function by promoting adequate nutrition and hydration to help these patients maintain normal growth without total parenteral nutrition (TPN).
The goals of intestinal rehabilitation are:
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Promote intestinal adaptation
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Enhance growth
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Minimize infectious complications
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Reduce the risk of TPN–associated liver disease
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Avoid transplantation
What is TPN?
TPN is intravenous feeding that is usually administered through a central line, or PICC line. It provides patients with essential fluids and nutrients, typically consisting of high concentrations of proteins, dextrose (sugars) and components like electrolytes, minerals and trace elements.
What is a PICC line?
A peripherally inserted central catheter (PICC line) provides intravenous access and is designed to be used for an extended period of time. The main purposes of this line when used for intestinal rehabilitation are:
- Provide intravenous nutrition and fluids.
- Easily draw blood labs to ensure your child is receiving proper nutritional support.