Belza Christina, Wales Paul W
aGroup for Improvement of Intestinal Function and Treatment (GIFT) bDivision of General and Thoracic Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Curr Opin Pediatr. 2017 Jun;29(3):334-339. doi: 10.1097/MOP.0000000000000493.
To review the recent literature related to the impact of an intestinal rehabilitation program (IRP) on the management of intestinal failure in children.
As publication of a systematic review of pediatric IRPs in 2013, there have been four publications further describing the impact of IRPs in children with intestinal failure. The results continue to support an improvement in survival and enteral autonomy, and a decrease in complications related to liver dysfunction, central venous catheters, and transplantation.
Pediatric IRPs offer significant advantage to outcomes of children with intestinal failure. The literature is difficult to interpret because of methodological limitations. IRP collaboration is necessary to further advance the field.
回顾近期与肠道康复计划（IRP）对儿童肠衰竭管理的影响相关的文献。
自2013年发表关于儿科IRP的系统评价以来，又有四篇出版物进一步描述了IRP对肠衰竭儿童的影响。结果继续支持生存率和肠内自主性的提高，以及与肝功能障碍、中心静脉导管和移植相关并发症的减少。
儿科IRP为肠衰竭儿童的治疗结果带来显著优势。由于方法学上的局限性，文献难以解读。IRP合作对于该领域的进一步发展是必要的。
