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Published on: December 1, 2012
[Application of enteral nutrition in pediatric surgery]
1Anhui Medical University, Department of The Fourth Surgical Ward, The First Affiliated Hospital of Anhui Medical University, Hefei 230051, China. ahykdxwk@sina.com.
Insights
Enteral nutrition is safe and effective for pediatric surgery patients unable to eat orally. This therapy improved nutritional status and promoted recovery in young surgical patients.
Area of Science:
- Pediatric Surgery
- Clinical Nutrition
- Gastroenterology
Background:
- Enteral nutrition (EN) is crucial for patients unable to achieve adequate oral intake.
- Assessing EN's role in pediatric surgical patients is vital for optimizing outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of enteral nutrition in pediatric surgical patients.
- To determine the impact of EN on nutritional status and recovery.
Main Methods:
- Retrospective analysis of 56 pediatric surgical patients receiving nasojejunal tube enteral nutrition.
- Nutritional formulations tailored by age: short peptide/amino acid-based for <1 year, small peptide-based for >1 year.
- Duration of therapy ranged from 7-37 days.
Main Results:
- Successful EN completion in all 56 patients, with good recovery.
- Common adverse events (diarrhea, nausea, vomiting, abdominal pain/distension) were mild and manageable.
- Significant improvements observed in weight, red blood cell count, hemoglobin, serum albumin, and prealbumin after 10 days of EN (P<0.05).
Conclusions:
- Enteral nutrition is a safe and effective therapeutic option in pediatric surgery.
- EN significantly improves nutritional status and promotes recovery in pediatric surgical patients.
- EN management requires careful monitoring and adjustment of feeding parameters.
Objective:
To explore the value and safety of the application of enteral nutrition in pediatric surgery.
Methods:
Clinical data of 56 children patients who could not undertake oral feeding or those who required enteral nutrition by nasojejunal tube over 7 days in our ward from June 2007 to May 2013 were retrospectively analyzed. Children younger than one year old received enteral nutritional formulation Ai Er Shu mainly composed of short peptides or amino acids, and children over one year received Small peptide or Nengquansu mainly composed of short peptide.
Results:
Among these 56 children patients, primary disease was pancreatitis in 20 cases, lacerated wound in 10, duodenal perforation in 6, duodenal septum-shape stenosis in 9, annular pancreas in 6, and hepatoblastoma in 5. All the patients successfully completed the enteral nutrition therapy within 7-37 (18±9.9) days with good recovery. During the treatment, 5 cases (8.9%) developed diarrhea, 3 cases (5.4%) nausea and vomiting, 2 cases (3.6%) mild abdominal distension, 5 cases(8.9%) mild abdominal pain, and the symptoms were relieved after adjustment of nutrient solution concentration and infusion rate. After enteral nutrition for 10 days, the nutritional status of children was improved, and weight, blood red cell count, hemoglobin, serum albumin, prealbumin increased significantly (P<0.05).
Conclusion:
Application of enteral nutrition in pediatric surgery is safe and effective, which can improve the nutritional status of children and promote the recovery.
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