DOI: https://doi.org/10.22141/2224-0586.4.99.2019.173930

Challenging issues on nutrition of children after extensive bowel resection (literature review)

V.R. Mishchuk

Abstract


Treatment of children after extensive bowel resection is a challenge for an anesthesiologist, as most patients in the preoperative period are critically ill, and postoperative therapy includes both multiple organ failure cure and long-term nutritional support associated with the development of short bowel syndrome. Conducting of parenteral and enteral nutrition in such patients is accompanied by a significant percentage of complications, in particular catheter-associated bloodstream infections, hepatic insufficiency, progressive bacterial colonization of the small intestine. Some patients need life-long parenteral nutrition with a possible prospect of intestinal transplantation. The article presents modern concepts of intensive care in the early postope­rative period, as well as features of nutrition support in the period of adaptation in children after extensive bowel resection.

Keywords


short bowel syndrome; parenteral nutrition; sepsis; review

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