Managing stomal bleeds
Lorna De Bourg School nurse, Edwin House, Burton on Trent. At the time of writing she was junior sister at Birmingham Children’s Hospital NHS Foundation Trust
Girish Gupte Consultant paediatric heptologist, Liver unit, at Birmingham Children’s Hospital NHS Foundation Trust
Local application of tranexamic acid is an effective treatment for stomal bleeding. Lorna De Bourg and colleagues report
LONG-TERM USE of parenteral nutrition results in intestinal failure-associated liver disease in 40-60 per cent of patients. This disease can progress to cirrhosis and portal hypertension (Starr andHand 2002), which may lead to the development of collateral vessels (varices) between the portal and the systemic circulation.
Nursing Children and Young People.
21, 5, 37-37.
doi: 10.7748/paed.21.5.37.s28
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