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Nutritional support in malnourished paediatric patients.

O Goulet1

  • 1Service de Gastroentérologie et Nutrition Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France.

Bailliere'S Clinical Gastroenterology
|March 18, 1999
PubMed
Summary

Protein energy malnutrition (PEM) worsens illness, especially in critical patients. Nutritional support via the gut or parenteral nutrition (PN) is vital for recovery, but PN carries risks like refeeding syndrome.

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Area of Science:

  • Clinical Nutrition
  • Pediatric Critical Care
  • Metabolic Disorders

Background:

  • Protein energy malnutrition (PEM) exacerbates underlying diseases, particularly in critically ill patients with sepsis.
  • Rapid malnutrition can occur in critical illness, creating a detrimental cycle with worsening PEM.
  • Severe PEM leads to homeostatic changes, increasing risks associated with nutritional interventions.

Purpose of the Study:

  • To examine the consequences of PEM.
  • To outline methods for providing appropriate nutritional support.
  • To identify risks for severely malnourished pediatric patients during hospitalization.

Main Methods:

  • Review of consequences of PEM.
  • Discussion of enteral nutrition as a primary feeding route.
  • Analysis of parenteral nutrition (PN) indications and associated risks.

Main Results:

  • Enteral nutrition is preferred when the gastrointestinal tract is functional.
  • Parenteral nutrition (PN) is necessary when nutritional requirements cannot be met enterally.
  • PN is associated with a high risk of metabolic complications, including refeeding syndrome.

Conclusions:

  • Appropriate nutritional support is crucial for catch-up growth in malnourished patients.
  • Body composition changes must be monitored during nutritional rehabilitation.
  • Understanding and managing refeeding syndrome is critical in patients receiving PN for severe PEM.

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