Pediatric

Learning objectives for this presentation:

1. Summarize the current status and accepted criteria for pediatric intestinal transplant.
2. Discuss factors to consider in the timing of intestinal transplant.
3. Describe the evolving role of intestinal transplantation in pediatric intestinal failure.  

• Summarize the risk factor paradigm for feeding difficulties in pediatric IF
• Interpret the available literature on the prevalence of feeding difficulties in IF
• Discuss the limitations of applying current feeding disorder definitions to pediatric IF
  
• Propose a definition for pediatric intestinal failure-associated feeding disorder (PIFAFD)

• Summarize the current status and accepted criteria for pediatric intestinal transplant
• Discuss factors to consider in the timing of intestinal transplant
• Describe the evolving role of intestinal transplantation in pediatric intestinal failure

TBD

• Review the available options for lock therapy for central venous catheters
• Review the available data and experience with sodium bicarbonate locks for central venous catheters
• Discuss a potential multicenter trial to assess the safety and efficacy of sodium bicarbonate locks for central venous catheters in pediatric intestinal failure patients

• Describe the impact of the microbiome in the outcomes of children with intestinal failure.
• Discuss current practices in the use of antibiotics in short bowel syndrome
• Summarize the role of antibiotics in the management of intestinal failure

• Summarize the role of minerals in growth and development of children
• Discuss the factors contributing to nutrient deficiencies in children with intestinal failure.
• Summarize monitoring and treatment recommendations for managing trace elements in pediatric intestinal failure. 

• Identify factors leading to iron deficiency in children with intestinal failure.
• Describe caregiver perspectives regarding anemia treatment in pediatric IF.
• Discuss strategies to treat iron deficiency

• Identify factors to consider in formula choice for children with intestinal failure. 
• Review nutritional qualities of currently available formulas.
• Summarize strategies to optimize enteral nutrition.