[Enteral nutrition in chronic intestinal failure in children]

Although the importance of enteral nutrition in the treatment of intestinal failure is well recognized, the optimal regime is still a matter of debate and clinicians often use different treatment algorithms. Therefore, the aim of this review was to present an overview of currently available evidence on the role of enteral nutrition in children with intestinal failure and to give evidence-based recommendations for clinical practice. According to the published data, enteral feeding should be initiated early after surgical resection with continuous feeding mode, gradually increasing the amount and concentration of formula based on child's clinical condition. If available, breast milk should be recommended; otherwise the priority is given to an elemental formula. It is very important to stimulate the oral intake. Optimal care for patients with intestinal failure can significantly reduce complications, primarily severe infections and liver disease, and the role of enteral nutrition in this process is of extreme importance.