Pediatric Nutrition in Practice

(singke) #1

Malabsorptive Disorders and Short Bowel Syndrome 189


3



  • Continuous EF has advantages for digestion/
    absorption of nutrients but should be used
    carefully to avoid ‘intestinal overload’ of poor-
    ly motile segments of the small bowel and de-
    velopment of eating disorders

  • Breastfeeding may be used, and may be com-
    plemented with HPF containing up to 60%


MCT. Current data are not sufficient to rec-
ommend EAABF for infants and children with
SBS


  • SIBO may significantly compromise digestive
    and absorptive functions, promotes liver dis-
    ease and may delay or prevent weaning from
    PN


11 Ksiazyk J, Piena M, Kierkus J, Lyszkow-
ska M: Hydrolyzed versus nonhydro-
lyzed protein diet in short bowel syn-
drome in children. J Pediatr
Gastroenterol Nutr 2002; 35: 615–618.
12 Bines J, Francis D, Hill D: Reducing par-
enteral requirement in children with
short bowel syndrome: impact of an
amino acid-based complete infant for-
mula. J Pediatr Gastroenterol Nutr 1998;
26: 123–128.
13 Andorsky DJ, Lund DP, Lillehei CW, et
al: Nutritional and other postoperative
management of neonates with short
bowel syndrome correlates with clinical
outcomes. J Pediatr 2001; 139: 27–33.
14 Vanderhoof JA, Young RJ: Hydrolyzed
versus nonhydrolyzed protein diet in
short bowel syndrome in children. J Pe-
diatr Gastroenterol Nutr 2004; 38: 107.
15 Duggan C, Stark AR, Auestad N, et al:
Glutamine supplementation in infants
with gastrointestinal disease: a random-
ized, placebo-controlled pilot trial. Nu-
trition 2004; 20: 752–756.

References

1 D’Antiga L, Goulet O: Intestinal failure
in children: the European view. J Pediatr
Gastroenterol Nutr 2013; 56: 118–126.
2 Goulet O, Olieman J, Ksiazyk J, Spoli-
doro J, Tibboe D, Köhler H, Yagci RV,
Falconer J, Grimble G, Beattie RM: Neo-
natal short bowel syndrome as a model
of intestinal failure: physiological back-
ground for enteral feeding. Clin Nutr
2013; 32: 162–171.
3 American Gastroenterological Associa-
tion: American Gastroenterological
Association medical position statement:
short bowel syndrome and intestinal
transplantation. Gastroenterology 2003;
124: 1105–1110.
4 Greene HL, McCabe DR, Merenstein
GB: Protracted diarrhea and malnutri-
tion in infancy: changes in intestinal
morphology and disaccharidase activi-
ties during treatment with total intrave-
nous nutrition or oral elemental diets.
J Pediatr 1975; 87: 695–704.
5 Orenstein SR: Enteral versus parenteral
therapy for intractable diarrhea of in-
fancy: a prospective, randomized trial.
J Pediatr 1986; 109: 277–286.


6 Sondheimer JM, Cadnapaphornchai M,
Sontag M, Zerbe GO: Predicting the du-
ration of dependence on parenteral nu-
trition after neonatal intestinal resec-
tion. J Pediatr 1998; 132: 80–84.
7 Andorsky DJ, Lund DP, Lillehei CW,
Jaksic T, Dicanzio J, Richardson DS,
Collier SB, Lo C, Duggan C: Nutritional
and other postoperative management of
neonates with short bowel syndrome
correlates with clinical outcomes. J Pedi-
atr 2001; 139: 27–33.
8 Bines JE, Taylor RG, Justice F, Paris MC,
Sourial M, Nagy E, et al: Influence of
diet complexity on intestinal adaptation
following massive small bowel resection
in a preclinical model. J Gastroenterol
Hepatol 2002; 17: 1170–1179.
9 Bach AC, Babayan VK: Medium-chain
triglycerides: an update. Am J Clin Nutr
1982; 36: 950–962.
10 Miyake Y, Yamamoto K: Role of gut
microbiota in liver diseases. Hepatol Res
2013; 43: 139–146.

Koletzko B, et al. (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2015, vol 113, pp 182–189
DOI: 10.1159/000360339

Free download pdf