Challenging issues on nutrition of children after extensive bowel resection (literature review)
DOI:
https://doi.org/10.22141/2224-0586.4.99.2019.173930Keywords:
short bowel syndrome, parenteral nutrition, sepsis, reviewAbstract
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.Downloads
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