J Pediatr. 2024 Dec:275:114226. doi: 10.1016/j.jpeds.2024.114226. Epub 2024 Jul 31.

Allison Fialkowski ¹, Kathryn Broyles ², Brittany DePaula ², Alejandro Flores ³, Megan Gray ⁴, Robert J Graham ⁵, Rachel Hoch ², Kayla E Hope ³, Megan McGivney ⁶, Jennifer McClelland ³, Samuel Nurko ³, Mark Puder ⁷, Danielle Stamm ², Christopher P Duggan ⁸, Alexandra Carey ⁹

Author information

¹The Boston Combined Pediatric Residency Program, Boston Children's Hospital and Boston Medical Center, Boston, MA.

²Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA; Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, Boston, MA.

³Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.

⁴Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA; Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, Boston, MA; Department of Surgery and Vascular Biology Program, Boston Children's Hospital, Boston, MA.

⁵Harvard Medical School, Boston, MA; Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA.

⁶Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, Boston, MA; Department of Surgery and Vascular Biology Program, Boston Children's Hospital, Boston, MA.

⁷Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA; Department of Surgery and Vascular Biology Program, Boston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA.

⁸Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA; Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA.

⁹Division for Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA; Center for Advanced Intestinal Rehabilitation, Boston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: alexandra.carey@childrens.harvard.edu.

Abstract

We describe cases of intestinal failure wherein inpatient admission was critical toward enteral autonomy. We performed a retrospective chart review of 6 children with long-term parenteral nutrition dependence who were weaned from parenteral nutrition after admission. Admissions included feeding and medication titration, interdisciplinary care, and a home parenteral nutrition team consultation.