Dilemmas in feeding infants with intestinal failure: a neonatologist's perspective.

Dilemmas in feeding infants with intestinal failure: a neonatologist's perspective.
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DOI:
10.1038/s41372-022-01504-4
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发表时间:
2023-01
影响因子:
2.9
通讯作者:
Good, Misty
Good, Misty
中科院分区:
医学3区
文献类型:
--
作者:
Hair, Amy B.;Good, Misty

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新生儿和儿科人群中的肠衰竭可能会使患者虚弱,并使临床医生难以管理。管理策略包括转诊到肠道康复中心,小容量营养饲料刺激肠道,谨慎推进肠内营养,使用标准化和循证喂养方案,以及补充肠外营养以优化婴儿的生长和营养。在这篇综述中,我们讨论了肠功能衰竭的原因,肠外营养策略,肠内喂养的启动和推进方案,以及喂养肠功能衰竭婴儿所面临的挑战。
Intestinal failure in neonatal and pediatric populations can be debilitating for patients and difficult to manage for clinicians. Management strategies include referral to an intestinal rehabilitation center, small volume trophic feeds to stimulate the intestine with cautious advancement of enteral nutrition using a standardized and evidence-based feeding protocol, and supplemental parenteral nutrition to optimize an infant’s growth and nutrition. In this review, we discuss the causes of intestinal failure, parenteral nutrition strategies, enteral feeding initiation and advancement protocols, as well as the challenges in feeding an infant with intestinal failure.
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