Inflammatory bowel disease (IBD) is a chronic pathology that has an outbreaks course that in recent years have seen an increase in incidence, especially at younger ages. Malnutrition is frequently associated with this condition, therefore, it is very important to ensure a right nutritional intervention, especially in pediatric patients, to ensure an optimal growth and also an improvement in the clinic. Our goal will be updated the role of nutrition in this disease and in its treatment based on the published evidence. Malnutrition in these patients is frequent and is influenced by various factors such as, decreased food intake, increased nutrient requirements, increased protein loss and malabsorption of nutrients. Therefore there should be a nutritional monitoring of all of them, in which anthropometric measurements, laboratory tests and densitometry were made to establish the needs and sufficient caloric intake tailored to each patient. The use of enteral nutrition as a treatment in Crohn’s disease with mild to moderate outbreak in child population, is amply demonstrated, has even shown to be superior to the use of corticosteroids. Therefore we can conclude by stressing that nutritional intervention is a mainstay in the management of patients with IBD, which aims to prevent and / or control disease-related malnutrition to decrease morbidity and mortality and improve quality of life.
Inflammatory bowel disease: the importance of early diagnosis La enfermedad inflamatoria intestinal (EII) en la edad pediátrica presenta ciertas peculiaridades clínicas y psicosociales que hacen que sea necesario realizar un diagnóstico y un tratamiento precoces. Es una enfermedad de curso crónico y recidivante que cuenta con manifestaciones gastrointestinales y extraintestinales. Incluye tres trastornos de etiología desconocida: la colitis ulcerosa, la enfermedad de Crohn y la EII no clasificada, que se definen según criterios clínicos, radiológicos, endoscópicos e histológicos. El seguimiento de estos pacientes requiere un abordaje multidisciplinar que incluya aspectos tanto médicos como psicosociales. Inflammatory bowel disease (IBD) in childhood has certain clinical and psychosocial characteristics that makes necessary an early diagnosis and treatment. It is a chronic and relapsing disease that has gastrointestinal and extraintestinal manifestations. It includes three disorders of unknown etiology: ulcerative colitis, Crohn's disease and unclassified IBD. They are defined by clinical, radiological, endoscopic and histological criteria. The follow up of these patients requires a multidisciplinary approach that addresses both medical and psychosocial aspects.
Failure to thrive, vomiting and diarrhea. More than gastrointestinal diseases Las acidosis tubulares renales son un grupo de trastornos que cursan con acidosis metabólica, en las que la función glomerular permanece conservada y es la función tubular la que está alterada. Son producidas por un defecto en la reabsorción tubular renal de bicarbonato y/o en la excreción urinaria de ion hidrógeno. Su etiología es diversa. Se debe pensar en ellas ante un lactante con escasa ganancia ponderal, vómitos, poliuria y/o deshidratación. El pronóstico es variable, según corresponda a formas primarias o secundarias y a la rapidez con la que se instaure el tratamiento. Presentamos un paciente afecto de acidosis tubular distal primaria diagnosticado a los tres meses de edad, con clínica de estancamiento ponderal. Renal tubular acidosis is a group of disorders with metabolic acidosis, in which tubular function is impaired while glomerular function is preserved. They are caused by an impairment in the bicarbonate's renal tubular reabsorption and/or in the urine excretion of hydrogen. The etiology of tubular acidosis is diverse. We should think of it in an infant with vomiting, polyuria, dehydration and poor weight gain. The prognosis is variable, it depends on whether it is a primary or a secondary form and on how prompt the treatment is instituted. We present a patient with primary distal tubular acidosis diagnosed at 3 months of age with poor weight gain.
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