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Gastroenterologist and young girl smiling at each other

Intenstinal Rehabilitation Program

Our physicians at the Pediatric Intestinal Rehabilitation Center take a multi-disciplinary approach to the management of patients with intestinal failure.

Your child’s team will include experts from pediatric gastroenterology, pediatric hepatology, pediatric surgery, pediatric infectious disease, neonatology, nutrition, feeding and occupational therapy, radiology, pathology and social work.

Your child will be treated and monitored in our dedicated weekly intestinal rehabilitation clinic by a pediatric gastroenterologist, nurse practitioner and registered dietician. Together, we create a comprehensive plan of care tailored to your child’s specific needs.

Our treatments include:

  • Intestinal Rehabilitation—strategies and therapies designed to make the bowel work better, such as nutritional support, nutritional rehabilitation, medical management and restorative surgery.
  • Nutritional support is often given through a feeding tube and/or through total parenteral nutrition (TPN). Here your child receives nutrients through a catheter placed in a central vein. We also provide feeding and occupational therapy to encourage your child to eat by mouth. Our team has also developed special protocols to improve patient outcomes. Our central line-associated bloodstream infection rate is consistently below the national average, and we are working to further minimize central line infections with ethanol lock therapy and individual education of caregivers. We also use lipid minimizing protocols to prevent TPN-associated liver injury.
  • Medical management using medications to slow down the intestine and to help your child absorb food.
  • Surgical evaluation. Your child will be closely followed by a pediatric surgeon for possible restorative surgeries to make the intestines more functional.
  • Transplantation. We offer transplantation surgery to our patients after all other treatment strategies have failed. Our specialists perform isolated small intestine transplantation in children with intestinal failure who have a functioning liver and offer combined liver and intestinal transplantation for patients with both liver and intestinal failure.