[Application of enteral nutrition in pediatric surgery]

Hui Li1, Huagang Zhu

  • 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.
Abstract

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