Management of short bowel syndrome in postoperative very low birth weight infants
| Autor: | Olivia Mayer, John A. Kerner |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Short Bowel Syndrome
Parenteral Nutrition - Associated Cholestasis Parenteral Nutrition medicine.medical_specialty Disease Clinical nutrition Intestinal rehabilitation 03 medical and health sciences Enteral Nutrition 0302 clinical medicine 030225 pediatrics medicine Humans Infant Very Low Birth Weight Intensive care medicine business.industry Infant Newborn Infant Enteral feeds Short bowel syndrome medicine.disease Low birth weight Parenteral nutrition Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Seminars in Fetal and Neonatal Medicine. 22:49-56 |
| ISSN: | 1744-165X |
| DOI: | 10.1016/j.siny.2016.08.001 |
| Popis: | Short bowel syndrome is a potentially devastating morbidity for the very low birth weight infant and family with a high risk for mortality. Prevention of injury to the intestine is the ideal, but, if and when the problem arises, it is important to have a systematic approach to manage nutrition, use pharmaceutical strategies and tools to maximize the outcome potential. Safely maximizing parenteral nutrition support by providing adequate macronutrients and micronutrients while minimizing its hepatotoxic effects is the initial postoperative strategy. As the infant stabilizes and starts to recover from that initial injury and/or surgery, a slow and closely monitored enteral nutrition approach should be initiated. Enteral feeds can be complemented with medications and supplements emerging as valuable clinical tools. Engaging a multidisciplinary team of neonatologists, gastroenterologists, pharmacists, skilled clinical nutrition support staff including registered dietitians and nutrition support nurses will facilitate optimizing each and every infant's long term result. Promoting intestinal rehabilitation and adaptation through evidence-based practice where it is found, and ongoing pursuit of research in this rare and devastating disease, is paramount in achieving optimal outcomes. |
| Databáze: | OpenAIRE |
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