Reinfusion of Succus Entericus Into the Mucous Fistula Decreases Dependence on Parenteral Nutrition in Neonates
| Autor: | Ravindra K. Vegunta, Mark J. Holterman, Douglas Drenckpohl, Huaping Wang, Kamlesh S. Macwan, Lisa Knaub, Richard H. Pearl |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Nutrition and Dietetics Neonatal intensive care unit business.industry 030106 microbiology Retrospective cohort study Nutritional status Succus entericus Surgery 03 medical and health sciences 0302 clinical medicine Parenteral nutrition Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine Malabsorption syndromes business Mucous fistula Nutritional risk Food Science |
| Zdroj: | ICAN: Infant, Child, & Adolescent Nutrition. 4:168-174 |
| ISSN: | 1941-4072 1941-4064 |
| Popis: | Background. Neonates who undergo surgery and have an ostomy with a creation of a mucous fistula are at nutritional risk, especially if the ostomy placement is proximal and the remaining bowel is not being used. Total parenteral nutrition (TPN) is used to maintain the neonatal nutritional status, but long-term use is associated with increased morbidities. The concept of reinfusing succus entericus into the mucous fistula to decrease the neonate’s dependence on TPN has been limited to case reports. Methods. This is a retrospective cohort study documenting the effectiveness of reinfusing succus entericus into the mucous fistula for neonates admitted to the neonatal intensive care unit (NICU). The authors’ primary hypothesis was that neonates who had succus entericus reinfused into the mucous fistula had decreased dependence on TPN. Results. Of the premature infants receiving mucous fistula feedings, 65% had TPN discontinued, whereas 67% of the term infants had TPN discontinued. The type of ostomy affected the neonate’s ability to be weaned off TPN. In all, 80% of the neonates with ileostomies were able to have TPN discontinued as compared with only 38% of the neonates with jejunostomies. Conclusions. The reinfusion of succus entericus into the mucous fistula decreases the neonate’s dependence on TPN and may prevent the progression of TPN-related morbidities from long-term use. Reinfusion of succus entericus into the mucous fistula may be a beneficial practice for neonates with ostomy placements. |
| Databáze: | OpenAIRE |
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