Transitioning Pediatric Patients With Short Bowel Syndrome to Enteral Autonomy: The Role of the Pediatric Surgical Nurse in Coordinating Home-Based Adaptation and Feeding Management

Short bowel syndrome in children, most commonly following extensive intestinal resection, results in intestinal failure and prolonged dependence on parenteral nutrition. Achieving enteral autonomy—sustained nutritional independence through enteral feeding—is a primary goal to reduce complications, support growth and development, and improve quality of life. Pediatric surgical nurses play a central role in coordinating seamless hospital-to-home transitions through structured family-centered education, nurse-coordinated home monitoring, and collaborative feeding adjustments. This continuity of care article synthesizes evidence-based strategies from multidisciplinary intestinal rehabilitation guidelines and codifies practical nursing practices that support informational, relational, and management continuity. Emphasis is placed on nurse-facilitated home monitoring protocols for intestinal adaptation, incremental feeding advancement, and early complication recognition. Common barriers, including caregiver burden and resource limitations, are addressed, and the potential role of telehealth in sustaining community-based care is explored. This nurse-coordinated model strengthens holistic pediatric surgical nursing practice across hospital, home, and community settings.