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[Massive intestinal resection in the newborn: nutritional and feeding problems]
1Divisione di Chirurgia Pediatrica, Ospedale dei Bambini V. Buzzi di Milano, Italia.
La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|September 1, 1993
Summary
Early enteral nutrition, primarily human milk and polymeric solutions, is key for treating short bowel syndrome in newborns. This approach promotes intestinal adaptation after significant resections.
Area of Science:
- Neonatal nutrition
- Gastroenterology
- Pediatric surgery
Context:
- Short bowel syndrome (SBS) presents significant challenges in neonates.
- Massive intestinal resections necessitate specialized nutritional support.
- Optimizing gut adaptation is crucial for long-term outcomes.
Purpose:
- To present clinical experience on nutritional management of neonatal short bowel syndrome.
- To evaluate the efficacy of early enteral feeding strategies.
- To highlight the role of specific nutritional solutions in promoting intestinal adaptation.
Summary:
- Early initiation of enteral nutrition is demonstrated as the optimal strategy.
- Human milk and polymeric nutritional solutions are recommended as primary choices.
- This nutritional approach supports intestinal adaptation following extensive intestinal resections.
Impact:
- Provides evidence-based guidance for managing neonatal short bowel syndrome.
- Informs clinical practice regarding early nutritional interventions.
- Contributes to improving outcomes for infants with SBS.