What We Treat

Intestinal Rehabilitation of Children's (IROC) is a multidisciplinary clinic with a team of dedicated gastroenterologists, surgeons, nutritionists, nurse practitioners, nurses and social workers to treat a variety of intestinal disorders stemming from surgery or congenital defect that lead to intestinal failure. Common conditions we treat include:

  • Short gut syndrome
  • Gastroschisis
  • Intestinal atresia
  • Midgut volvulus
  • Small bowel atresia
  • Long segment Hirschsprung’s disease

Services We Offer

We offer comprehensive care through a range of services, including medical, nutritional and surgical management. The majority of our patients require parental nutrition given through a central line. Because of these complexities, children with intestinal failure and short bowel syndrome require detailed and extra medical care. An individualized treatment plan is designed for each patient.

Treatment options at IROC include:

Medical management

Medical management of children with intestinal failure or short bowel syndrome includes identifying and managing potential complications and/or symptoms to maximize every patients’ intestinal potential. Care is given to avoid central catheter associated infections, avoid liver related complications associated with parenteral nutrition, treat for small bowel bacterial overgrowth if necessary, treat reflux or associated motility problems. Our multidisciplinary approach allows us to maximize growth, nutrition, and electrolyte balances through dietary management.

In addition, our team works closely with each family to educate them on how to best manage their child’s condition at home.  We help coordinate care with our needed specialists and general pediatricians.

Nutritional management

At Children's, we perform a complete nutritional analysis of each patient. Our physicians and nutritionist work closely with each family to develop a plan to meet your child's specific nutritional needs for normal growth and development.

Your child’s nutritional plan might include:

  • Parenteral nutrition: A solution is put directly into your child’s bloodstream through an I.V., giving him necessary nutrients, such as protein, carbohydrates, vitamins, minerals, salts and fat. It’s used when your child’s GI track cannot function on its own. 
  • Enteral nutrition: A special liquid food mixture or formula is given to your child by mouth or, if needed, through a feeding tube that is inserted directly into his stomach or small intestine.
  • Transitioning to food: This typically includes a combination of normal eating and enteral or parenteral nutrition.

Our team will take great care to monitor micronutrient and vitamin deficiencies on a regular basis for each child. We provide tailored treatment options for your child. This helps ensure proper growth and development of every child.

Surgical management

We use a multidisciplinary approach to decide if a surgery is beneficial to a child. Each patient is evaluated to decide if surgical options can:

  • Help intestinal absorption.
  • Reduce the need for parenteral nutrition.
  • Improve movement through your child’s intestines.
  • Lengthen the intestine.

Our team might consider the following surgical methods if your child has short bowel syndrome or if he is not effectively responding to medical and/or nutritional management:

  • Small bowel reconstruction
  • Bowel lengthening procedures, including bianchi procedure and serial transverse enteroplasty (STEP)
  • G tube placement to help offer enteral nutrition

Our Unique Approach

Our mission is to enhance the lives of children and young adults who have intestinal failure. We provide multidisciplinary patient care of the highest quality through optimal disease management approaches. We strive to achieve our mission by:

  • Being thought leaders in the field
  • Using innovative approaches developed from the latest advancements in medical and surgical knowledge
  • Advocating for our patients and their families