关键词: intestinal failure nutrition nutrition support parenteral nutrition pediatrics short bowel syndrome

来  源:   DOI:10.1002/ncp.11179

Abstract:
In pediatric patients with intestinal failure, parenteral nutrition is lifesaving but also has several associated risks. The goals of intestinal rehabilitation include promoting growth, minimizing complications associated with intestinal failure, and reaching enteral autonomy, if possible. Pediatric intestinal rehabilitation programs are interdisciplinary teams that strive to provide optimal care for children dependent on parenteral nutrition. The provision of parenteral nutrition requires close monitoring of patients\' growth, nutrition concerns, clinical status, and laboratory parameters. Recent advances in the field of intestinal rehabilitation include new lipid emulsions, considerations regarding enteral feeding, advances in micronutrient provision, and central venous catheter preservation techniques. Challenges in the field remain, including improving overall quality of life with home parenteral nutrition administration and preventing recently recognized complications such as chronic intestinal inflammation.
摘要:
在肠衰竭的儿科患者中,肠外营养可以挽救生命,但也有一些相关的风险。肠道康复的目标包括促进生长,减少与肠衰竭相关的并发症,达到肠道自主性,如果可能的话。儿科肠道康复计划是跨学科团队,致力于为依赖肠外营养的儿童提供最佳护理。肠外营养的提供需要密切监测患者的生长,营养问题,临床状态,和实验室参数。肠道康复领域的最新进展包括新型脂质乳剂,关于肠内喂养的考虑,微量营养素供应的进步,和中心静脉导管保存技术。该领域的挑战仍然存在,包括通过家庭肠胃外营养管理改善整体生活质量,并预防最近认识到的并发症,如慢性肠道炎症。
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