Neonatal short bowel syndrome as a model of intestinal failure: Physiological background for enteral feeding
| Autor: | Janusz Ksiazyk, George K. Grimble, J. Falconer, Robert Mark Beattie, H. Köhler, D. Tibboe, J. Spolidoro, Joanne Olieman, R. Vural Yagci, Olivier Goulet |
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| Přispěvatelé: | Pediatric Surgery |
| Rok vydání: | 2013 |
| Předmět: |
Dietary Fiber
Short Bowel Syndrome medicine.medical_specialty Nutritional Status Critical Care and Intensive Care Medicine Enteral administration Gastroenterology Primary outcome Enteral Nutrition Internal medicine Intestinal failure Small intestinal bacterial overgrowth Intestine Small medicine Dietary Carbohydrates Humans Nutrition and Dietetics business.industry Probiotics Infant Newborn Infant Nutritional status medicine.disease Short bowel syndrome Adaptation Physiological Dietary Fats Diet Parenteral nutrition Child Preschool Fatty Acids Unsaturated Intestinal resection Dietary Proteins business |
| Zdroj: | Clinical Nutrition, 32(2), 162-171. Churchill Livingstone |
| ISSN: | 0261-5614 |
| DOI: | 10.1016/j.clnu.2012.09.007 |
| Popis: | Intestinal failure (IF) is a well identified clinical condition, which is characterised by the reduction of functional gut capacity below the minimum needed for adequate digestion and absorption of nutrients for normal growth in children. Short bowel syndrome (SBS) is the leading cause of IF in neonates, infants and young children usually as a result of extensive intestinal resection during the neonatal period. Simultaneously maintaining optimal nutritional status and achieving intestinal adaptation is a clinical challenge in short bowel patients. Both growth and development of the child as well as gut adaptation should be considered synergistically as primary outcome parameters. Enteral nutrition (EN) can be introduced orally and/or by tube feeding (TF). Several controversies over nutritional treatment of children with SBS related intestinal failure remain. As reported from different centres around the world, most practices are more "experienced based" rather than "evidence based". This is partly due to the small number of patients with this condition. This review (based on a consensus) discusses the physiological principles and nutritional management, including the type of diet and route of delivery. Perspectives in optimizing intestinal adaptation and reducing the consequences of small intestinal bacterial overgrowth are also discussed. |
| Databáze: | OpenAIRE |
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