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Partial peritoneal alimentation in an infant.

R J Merritt1, J B Atkinson, T V Whalen

  • 1Department of Pediatrics, Childrens Hospital of Los Angeles, CA 90054-0700.

JPEN. Journal of Parenteral and Enteral Nutrition
|November 1, 1988
PubMed
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Partial peritoneal alimentation provided essential nutrition to a premature infant with limited access. However, lipid emulsions are contraindicated with lymphatic obstruction due to complications.

Area of Science:

  • Neonatal Medicine
  • Pediatric Surgery
  • Nutritional Support

Background:

  • Premature infants often face challenges with central venous access and gastrointestinal dysfunction.
  • Alternative nutritional support methods are crucial when traditional routes are unavailable or compromised.

Observation:

  • A cuffed silastic catheter was surgically placed for suprahepatic peritoneal alimentation in an 11-month-old premature infant.
  • The alimentation solution supplemented daily caloric intake for 28 days, contributing significantly to nutrition.

Findings:

  • While weight gain was observed, complications such as hypoglycemia, hypophosphatemia, dehydration, and ascites occurred.
  • Autopsy revealed lipid accumulation in the peritoneum and lungs, linked to pre-existing lymphatic obstruction.

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Implications:

  • Partial peritoneal alimentation can be a viable option for nutritional support in neonates with inadequate venous access.
  • Pre-existing lymphatic obstruction is a critical contraindication for using lipid emulsions in peritoneal alimentation.