Etiology and grading treatment of gastrointestinal failure / 中国小儿急救医学

ABSTRACT

Gastrointestinal failure is often secondary to a variety critically illness such as sepsis,severe hypoxia and severe gastrointestinal diseases and characterized gastrointestinal mucous lesion,dysfunction of gastrointestinal motility and barrier.It is a pivotal factor influencing the outcome of critically ill patients.Early diagnosis and appropriate treatment is important to improve the outcome of patients,but for a long time there was no unified definition and standard of diagnosis and also no consensus of therapeutic regimen because of lacking specific criteria of assessment.In recent years,the new conception of acute gastrointestinal injury with its four grades of severity and therapeutic regimen based on the grades were proposed in adult ICU field which is worth learning for pediatrician.In this review,the etiology of gastrointestinal failure and the new concepts on its different grades and grading treatment were discussed.