Related Experiment Video
Updated: Apr 10, 2026

Self-Nanoemulsification of Healthy Oils to Enhance the Solubility of Lipophilic Drugs
Published on: July 27, 2022
High dose fish oil lipid emulsion (FOLE) use in pediatric patients: A case series
Sean Coyne1, Uyen Le2, Margaret Murphy1
1Boston Children's Hospital, Boston, MA, USA.
Insights
Higher doses of fish oil-based lipid emulsion (FOLE) safely support pediatric patients with intestinal failure-associated liver disease (IFALD), enabling longer parenteral nutrition (PN) cycles and promoting growth.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Parenteral Nutrition
Background:
- Intestinal Failure-Associated Liver Disease (IFALD) poses challenges for pediatric patients requiring long-term parenteral nutrition (PN).
- Current PN formulations may not fully address the metabolic and hepatic complications associated with IFALD.
Abstract:
Intestinal Failure-Associated Liver Disease (IFALD) presents significant challenges in pediatric patients on long-term parenteral nutrition (PN).
Case Report:
We conducted a case series to evaluate safety and efficacy of administering higher dose (2 g/kg/day) Omegaven® (Fresenius Kabi AG, Bad Homburg, Germany), a fish oil-based lipid emulsion (FOLE), in pediatric patients with IFALD. Ten patients at Boston Children's Hospital were found to have received FOLE at 2 g/kg/day. Data was retrospectively collected from electronic health records, including demographics, laboratory values, and treatment outcomes.
Conclusion:
All patients using higher dose FOLE successfully transitioned to 20-hour PN cycles with FOLE 2 g/kg/day, meeting daily caloric requirements and preventing hypoglycemia. No adverse reactions were reported. For most patients, liver function markers remained within normal limits. Our findings suggest higher dose FOLE can facilitate PN cycling and promote growth. Further studies are warranted to validate these findings and establish optimal dosing for this patient population.
More Related Videos
04:53A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
11:30High-fat Feeding Paradigm for Larval Zebrafish: Feeding, Live Imaging, and Quantification of Food Intake
Published on: October 27, 2016
Related Concept Videos
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Distribution
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Lipids: Dietary Sources and Requirements