Here is an interesting story from the Hospital for Sick Children about a multidisciplinary team in Canada dedicated to the treatment and research of intestinal failure in children.
Patients with intestinal failure lack a significant portion of their bowels often fail to thrive and require a complex combination of treatments, including surgery, parenteral nutrition and physiotherapy. Therapies have traditionally resulted in long hospital stays, liver damage and repeat infections, having lifelong implications for health and affecting social and family life.
This program is a combination of surgical advancements, adjustments to clinical nutrition protocols and an improved integration of services have rendered some impressive breakthroughs. In neonates and infants with intestinal failure from short bowel syndrome, septic events have been minimized and the length of intensive care unit stays have decreased by 20 per cent. More children are tolerating enteral feeding. Most importantly, children experiencing liver failure are making it onto the transplant list sooner. The result has been a 36 per cent increase in the number of transplants performed and a more than 50 per cent decrease in the number of deaths from liver failure (22 per cent to 11 per cent). These numbers improve every year. In 2006, no child with intestinal failure died of liver failure under the care of the GIFT program.
The physios are part of the group – way to go!