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Short Bowel Syndrome — RACP Paediatrics MCQ

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HardGastroenterologyShort Bowel SyndromeRACP Paediatrics

A 2-year-old with short bowel syndrome after extensive neonatal intestinal resection for NEC is on parenteral nutrition. What is the primary long-term goal of management?

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Correct answer: E — Achieve enteral autonomy (independence from PN) through intestinal adaptation

Short bowel syndrome management aims to maximise intestinal adaptation (villous hyperplasia, increased absorptive surface) through gradual enteral feed advancement, optimised PN, prevention of IFALD, and management of complications (CRBSI, D-lactic acidosis, micronutrient deficiency). Intestinal transplant is reserved for life-threatening PN complications.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Intestinal Failure