Nutritional Management of Infants with Short Bowel Syndrome
Section snippets
Parenteral Nutrition
Parenteral nutrition (PN) is essential for survival of infants and children with SBS, but it also may contribute to the mortality of this condition. Unfortunately, long-term PN is associated with the development of intestinal failure-associated liver disease (IFALD) in 40% to 60% of infants who require PN therapy for intestinal failure.22 It has also been termed TPN-associated cholestasis, but IFALD may be the better term as the liver injury may progress to end-stage liver disease. Liver injury
Summary
The management of infantile SBS and intestinal failure is challenging and requires vigorous attention to detail. The task of caring for children with these disorders is labor intensive for dieticians, nurses, physicians, and families. Ultimately, while some management principles are evidence-based, others involve understanding of individual patient variations and the “art” rather than the science of medicine. Much more research is required, and many resources are needed to better standardize
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Cited by (102)
Neonatal Nutrition Assessment
2023, Principles of Neonatology50 Years Ago in THE JOURNAL OF PEDIATRICS: Food for Thought: Parenteral Nutrition
2021, Journal of PediatricsComplications of short bowel syndrome
2019, Paediatrics and Child Health (United Kingdom)ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Organisational aspects
2018, Clinical Nutrition