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[Nutritional therapy in children during perioperative period]
Insights
Nutritive therapy effectively corrects nutrition status in patients with gastrointestinal and esophageal conditions using tailored enteral and parenteral feeding strategies. This approach optimizes in-hospital treatment for diverse pathologies.
Area of Science:
- Clinical Nutrition
- Gastroenterology
- Pediatric Surgery
Context:
- Analyzed 37 patients with gastrointestinal and esophageal pathologies.
- Included patients with fistulas, esophageal atresia, and cicatricial stenosis.
- Focused on optimizing nutrition status during in-hospital treatment.
Purpose:
- To evaluate the efficacy of nutritive therapy in patients with complex gastrointestinal and esophageal conditions.
- To propose a method for nutrition-status correction using combined enteral and parenteral feeding.
- To develop practical recommendations for therapeutic feeding schemes.
Summary:
- A combined enteral and parenteral feeding approach was implemented for 37 patients with gastrointestinal and esophageal pathologies.
- Parenteral nutrition included fatty emulsions, amino acids, and glucose solutions.
- Enteral diets comprised oligopeptide solutions and balanced nutritional mixtures.
- Therapeutic feeding schemes were developed based on clinical and laboratory findings.
Impact:
- Provides evidence for the effectiveness of combined nutritional support in managing severe gastrointestinal and esophageal diseases.
- Offers practical guidelines for clinicians on implementing tailored feeding strategies.
- Contributes to improved patient outcomes through optimized nutrition during hospitalization.
Abstract:
The efficiency of nutritive therapy was analyzed in cases of 37 patients with gastrointestinal pathologies. Group 1 comprised 12 patients with fistulas of different etiologies and localizations; and group 2 comprised 15 patients with esophageal pathologies, including 7 children with esophageal atresia and 8 children with post-burn cicatricial stenosis of the esophagus. A method of nutrition-status correction by means of both enteral and parenteral feeding is suggested on the basis of examination findings comprising both clinical and laboratory-and-instrumental data. Preparations for parenteral feeding, i.e. 10-20% fatty emulsions, 10% amino acids solutions and 15-20% glucose solutions, were made use of. Enteral diets: semi-element oligopeptide solutions, like Nutrilon pepti TSC, Alphare. Balanced mixtures: sour-milk Nan, AL 110, Nutrizon, Nutridrink. Practical recommendations were defined, on the basis of study results, as to the therapeutic feeding schemes during the in-hospital treatment stages.
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