Enteral and parenteral nutrition in the care of patients with short-bowel syndrome

被引:53
作者
Vanderhoof, JA [1 ]
Young, RJ [1 ]
机构
[1] Univ Nebraska, Med Ctr, Chief Sect Pediat Gastroenterol & Nutr, Nebraska Med Ctr 985160, Omaha, NE 68198 USA
关键词
short-bowel syndrome; intestinal adaptation; parenteral nutrition; enteral nutrition;
D O I
10.1016/S1521-6918(03)00082-9
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Short-bowel syndrome is a challenging entity for the gastroenterologist, requiring integration of medical, nutritional, surgical and psychological therapies. Treatment must be based on the patient's age, remaining gastrointestinal anatomy, baseline nutritional status and underlying general health as well as the numerous complications which may arise. This chapter reviews physiological alterations that occur with short-bowel syndrome and how therapies can be tailored to most adequately meet the needs of these patients. Emphasis on early stages of therapy to enhance intestinal adaptation is focused on as management during this time has a significant impact on the long-term outcome of these patients.
引用
收藏
页码:997 / 1015
页数:19
相关论文
共 100 条
[1]  
ALDEWACHI HS, 1975, J ANAT, V119, P105
[2]   Bone mineral content in patients with short bowel syndrome: The impact of parenteral nutrition [J].
Ament, ME .
JOURNAL OF PEDIATRICS, 1998, 132 (03) :386-388
[3]   Nutritional and other postoperative management of neonates with short bowel syndrome correlates with clinical outcomes [J].
Andorsky, DJ ;
Lund, DP ;
Lillebei, CW ;
Jaksic, T ;
DiCanzio, J ;
Richardson, DS ;
Collier, SB ;
Lo, C ;
Duggan, C .
JOURNAL OF PEDIATRICS, 2001, 139 (01) :27-33
[4]   Evidence-based prevention of catheter infection during parenteral nutrition [J].
Attar, A ;
Messing, B .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2001, 4 (03) :211-218
[5]   Evaluation of stress factors and body weight adjustments currently used to estimate energy expenditure in hospitalized patients [J].
Barak, N ;
Wall-Alonso, E ;
Sitrin, MD .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2002, 26 (04) :231-238
[6]   Disturbed release of gastrointestinal peptides in anorexia nervosa and in obesity [J].
Baranowska, B ;
Radzikowska, M ;
Wasilewska-Dziubinska, E ;
Roguski, K ;
Borowiec, M .
DIABETES OBESITY & METABOLISM, 2000, 2 (02) :99-103
[7]   Total parenteral nutrition enriched with arginine and glutamate generates glutamine and limits protein catabolism in surgical patients hospitalized in intensive care units [J].
Bérard, MP ;
Zazzo, JF ;
Condat, P ;
Vasson, MP ;
Cynober, L .
CRITICAL CARE MEDICINE, 2000, 28 (11) :3637-3644
[8]  
BHARGAVA SA, 1995, AM J GASTROENTEROL, V90, P807
[9]   Reducing parenteral requirement in children with short bowel syndrome: Impact of an amino acid-based complete infant formula [J].
Bines, J ;
Francis, D ;
Hill, D .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1998, 26 (02) :123-128
[10]  
CAIRNS PA, 2000, COCHRANE DATABASE SY