Faculty Collaboration Database

When parenteral nutrition is the answer: The case of pediatric intestinal rehabilitation. Nutr Clin Pract 2024 Oct;39(5):991-1002

Date

07/04/2024

Pubmed ID

38961658

DOI

10.1002/ncp.11179

Scopus ID

2-s2.0-85197412883 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

In pediatric patients with intestinal failure, parenteral nutrition is lifesaving but also has several associated risks. The goals of intestinal rehabilitation include promoting growth, minimizing complications associated with intestinal failure, and reaching enteral autonomy, if possible. Pediatric intestinal rehabilitation programs are interdisciplinary teams that strive to provide optimal care for children dependent on parenteral nutrition. The provision of parenteral nutrition requires close monitoring of patients' growth, nutrition concerns, clinical status, and laboratory parameters. Recent advances in the field of intestinal rehabilitation include new lipid emulsions, considerations regarding enteral feeding, advances in micronutrient provision, and central venous catheter preservation techniques. Challenges in the field remain, including improving overall quality of life with home parenteral nutrition administration and preventing recently recognized complications such as chronic intestinal inflammation.

Author List

Kaenkumchorn TK, Lampone O, Huebner K, Cramer J, Karls C

Author

Tanyaporn Kaenkumchorn MD Assistant Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child
Enteral Nutrition
Fat Emulsions, Intravenous
Humans
Intestinal Diseases
Intestines
Micronutrients
Parenteral Nutrition
Parenteral Nutrition, Home
Quality of Life