Background/introduction
Pediatric intestinal failure (PIF) acknowledges a group of patients with a reduction in functional gut mass below the minimum necessary for digestion and absorption, depending on parental nutrition for survival [1,2]. Most common etiologies of PFI includes:
Short bowel syndrome
Necrotizing enterocolitis
Intestinal atresias
Gastroschisis
Dysmotility
Patients with PIF are frequently involved in numerous studies and procedures using ionizing radiation, such as intraoperative fluoroscopy, barium contrast studies, or CT scans[1,3].
The detrimental effects of ionizing radiation are well documented, both for high levels and low...
Description of activity and work performed
We perform a retrospective cohort analysis through a query in our Electronic Health Record (EHR), including patients with PIF under 18 years between 2007 and 2019 and registering studies or procedures using x-rays.
Our medical physicists from the quality assurance office create a reference table for ERD of the different studies and procedures ( Table 1 ).
Conclusion and recommendations
A total of 99 patients were analyzed in a 12 years period. We obtain a mean age of 6.19 years, with a mean follow-up time of 4.78 years (range 0.08-12.14).
We calculate a mean total of 49.43 studies per patient. The 43.4% of the global cumulative EDR was contributed by CT-scans. The distribution of cumulative ERD per type of procedure is shown in Fig. 2 .
Using our ERD reference table, the cumulative ERD was of 74.64 mSv per patient (range 0.02-711.59). 60% of the...
Personal/organisational information
F. N. Diaz; Buenos Aires, BA/AR - nothing to disclose J. A. Sanabria; Buenos Aires, BU/AR - nothing to disclose M. Ulla; Pilar- Buenos Aires/AR - nothing to disclose A. C. Grasso; Buenos Aires/AR - nothing to disclose J. M. Moldes; Buenos Aires/AR - nothing to disclose P. A. Lobos; Buenos Aires/AR - nothing to disclose
References
Duggan CP, Jaksic T (2017) Pediatric Intestinal Failure. New England Journal of Medicine 377:666–675.
D’Antiga L, Goulet O (2013) Intestinal failure in children: the European view. J Pediatr Gastroenterol Nutr 56:118–126.
Squires RH, Duggan C, Teitelbaum DH, et al (2012) Natural history of pediatric intestinal failure: initial report from the Pediatric Intestinal Failure Consortium. J Pediatr 161:723–8.e2.
Brenner DJ, Hall EJ (2007) Computed Tomography — An Increasing Source of Radiation Exposure. New England Journal of Medicine 357:2277–2284.
Smith-Bindman R, Lipson J, Marcus R, et al...