Nutrition Management of Infants With Surgical Short Bowel Syndrome and Intestinal Failure

Cole, Conrad R.; Kocoshis, Samuel A.

doi:10.1177/0884533613491787

Cited by 33 publications

(47 citation statements)

References 66 publications

(136 reference statements)

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“…The importance of individualized treatment cannot be overstated, and pairing teduglutide with other complementary treatments aimed at enhancing intestinal adaptation may be beneficial. Finally, given promising results in preclinical pediatric models, 60 despite the current lack of human pediatric GLP‐2 and/or teduglutide clinical trials, 61 it would also be beneficial to investigate the therapeutic effects of teduglutide in pediatric patients so the therapeutic benefits of teduglutide could be extended to this population.…”

Section: Discussionmentioning

confidence: 99%

Teduglutide for Safe Reduction of Parenteral Nutrient and/or Fluid Requirements in Adults

Naberhuis¹,

Tappenden

2015

J Parenter Enteral Nutr

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Section: Discussionmentioning

confidence: 99%

Teduglutide for Safe Reduction of Parenteral Nutrient and/or Fluid Requirements in Adults

Naberhuis¹,

Tappenden

2015

J Parenter Enteral Nutr

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“…Early focus on engaging and educating the primary caregivers is a key predictor for success. Early, aggressive introduction and advancement of enteral feeds are critical for promoting intestinal adaptation, preventing intestinal failure-associated liver disease, and weaning the patient off PN [15]…”

Section: Discussionmentioning

confidence: 99%

Nutritional Support Process for a Patient with Short Bowel Syndrome in Conjunction with Panperitonitis: A Case Report

Kim

Lee

et al. 2013

Clin Nutr Res

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Short Bowel Syndrome (SBS) is a condition that causes malabsorption and nutrient deficiency because a large section of the small intestine is missing or has been surgically removed. SBS may develop congenitally or from gastroenterectomy, which often change the motility, digestive, and/or absorptive functions of the small bowel. The surgical procedure for SBS and the condition itself have high mortality rates and often lead to a range of complications associated with long-term parenteral nutrition (PN). Therefore, careful management and appropriate nutrition intervention are needed to prevent complications and to help maintain the physiologic integrity of the remaining intestinal functions. Initial postoperative care should provide adequate hydration, electrolyte support and total parenteral nutrition (TPN) to prevent fatal dehydration. Simultaneously, enteral nutrition should be gradually introduced, with the final goal of using only enteral nutrition support and/or oral intake and eliminating TPN from the diet. A patient should be considered for discharge when macro and micronutrients can be adequately supplied through enteral nutrition support or oral diet. Currently, there is more research on pediatric patients with SBS than on adult patient population. A 35-year-old man with no notable medical history was hospitalized and underwent a surgery for acute appendicitis at a local hospital. He was re-operated on the 8th day after the initial surgery due to complications and was under observation when he suddenly complained of severe abdominal pain and high fever. He was immediately transferred to a tertiary hospital where the medical team discovered free air in the abdomen. He was subsequently diagnosed with panperitonitis and underwent an emergency reoperation to explore the abdomen. Although the patient was expected to be at a high risk of malnutrition due to short bowel syndrome resulting from multiple surgeries, through intensive care under close cooperation between the medical and nutrition support team, his nutritional status improved significantly through continuous central and peripheral parenteral nutrition, enteral nutrition, and oral intake. The purpose of this paper is to report the process of the patient's recovery.

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“…They also recognized that this time is used as a way to plan social and leisure activities outside the school setting . Quality‐of‐life research with adults and children receiving home PN for intestinal failure indicates that the ability to eat and enjoy food is directly linked to quality of life . Families report that they feel helpless and frustrated because of their inability to help the affected individual eat .…”

Section: Socialmentioning

confidence: 99%

“…Intestinal adaptation is improved with early oral and enteral feedings . Oral feedings are offered even when they do not provide much nutrition value, due to a positive effect of stimulating gut hormones, growth factors, and digestive secretions that promote intestinal growth . In addition to the physiologic benefits, families of children with SBS find oral feeding a significant factor in their quality of life .…”

mentioning

confidence: 99%

Oral Feeding Difficulties in Children With Short Bowel Syndrome: A Narrative Review

2017

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Children with short bowel syndrome (SBS) with associated intestinal failure may be unable to absorb sufficient nutrients to sustain life. Improvements in the medical management of SBS, including use of parenteral nutrition, has significantly increased life expectancy. Independence from parenteral nutrition further improves quality of life. However, children living with SBS often develop oral aversions and feeding difficulties. There is limited research and information on which to base interventions that will preserve and develop oral motor and feeding skills. The aims of this article are to explore what is known about children with SBS who exhibit oral aversion/feeding difficulties and to suggest research for possible future interventions that could help these children overcome oral aversion, eat orally, and increase participation and satisfaction in mealtimes. This review explores the complexity of feeding children with SBS. Three underlying themes emerged: physical, developmental, and social aspects of eating and mealtimes. Interdisciplinary teams are needed to effectively address these complex oral feeding problems. Accurate identification the underlying issues will allow healthcare providers to develop interventions to improve feeding outcomes for children with SBS. Future research should focus on evaluating the effectiveness of interventions that address each of the underlying issues.

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Nutrition Management of Infants With Surgical Short Bowel Syndrome and Intestinal Failure

Cited by 33 publications

References 66 publications

Teduglutide for Safe Reduction of Parenteral Nutrient and/or Fluid Requirements in Adults

Teduglutide for Safe Reduction of Parenteral Nutrient and/or Fluid Requirements in Adults

Nutritional Support Process for a Patient with Short Bowel Syndrome in Conjunction with Panperitonitis: A Case Report

Oral Feeding Difficulties in Children With Short Bowel Syndrome: A Narrative Review

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