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Current issues in the management of intestinal failure
  1. G L Gupte1,
  2. S V Beath1,
  3. D A Kelly1,
  4. A J W Millar1,
  5. I W Booth2
  1. 1Liver Unit, Birmingham Children’s Hospital, Birmingham, UK
  2. 2University of Birmingham, Institute of Child Health, Birmingham, UK
  1. Correspondence to:
    Dr G Gupte
    Consultant Paediatric Hepatologist, Birmingham Children’s Hospital, Steelhouse Lane, Birmingham B4 6NH, UK; girish.gupte{at}


Successful long term parenteral nutrition has transformed the prognosis for children with irreversible intestinal failure in the last three decades, but has also highlighted the long term complications: intestinal failure associated liver disease; recurrent catheter sepsis; and impaired venous access. Recent advances in small bowel transplantation and non-transplant surgical techniques now offer hope of sustained survival in the future without parenteral nutrition.

  • intestinal failure
  • parenteral nutrition
  • intestinal transplantation
  • short bowel syndrome

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  • Competing interests: none declared