NUTRITIONAL CARE AND CANDIDATES FOR SMALL-BOWEL TRANSPLANTATION

被引:43
作者
BEATH, SV
BOOTH, IW
MURPHY, MS
BUCKELS, JAC
MAYER, AD
MCKIERNAN, PJ
KELLY, DA
机构
[1] UNIV BIRMINGHAM, INST CHILD HLTH, BIRMINGHAM B15 2TT, W MIDLANDS, ENGLAND
[2] QUEEN ELIZABETH HOSP, BIRMINGHAM, W MIDLANDS, ENGLAND
关键词
PARENTERAL NUTRITION; SMALL BOWEL TRANSPLANTATION; NUTRITIONAL CARE;
D O I
10.1136/adc.73.4.348
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Twenty two children were evaluated for small bowel transplantation between 1989 and 1994. Eight were unfit for transplantation and died within three months; a raised plasma bilirubin concentration (>200 mu mol/l) predicted death from liver failure within six months (p=0.0001). The 11 children who were not managed by a multidisciplinary nutritional care team were less well nourished at referral, had more complications with intravenous feeding catheters, and greater early mortality while awaiting transplantation (p<0.05). It is recommended that children with chronic intestinal failure be referred for assessment early, before liver dysfunction is established.
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页码:348 / 350
页数:3
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