Sánchez César, López-Herce Jesús, Carrillo Angel, Bustinza Amaya, Sancho Luis, Vigil Dolores
Pediatric Gastroenterology Section, Gregorio Marañón Hospital, 28007 Madrid, Spain.
J Pediatr Surg. 2006 Jun;41(6):1096-102. doi: 10.1016/j.jpedsurg.2006.02.010.
The aim of this study is to assess the utility of transpyloric enteral nutrition in the postoperative period of cardiac surgery in children.
A prospective, observational study was performed on children receiving transpyloric enteral nutrition in the postoperative period of cardiac surgery. The type of nutrition, duration, tolerance, and complications were studied.
Children (212) between the ages of 3 days and 17 years received transpyloric enteral nutrition in the postoperative period of cardiac surgery. The duration of the transpyloric feeding was 16 +/- 23.8 days, and the maximum calorie delivery was 85.1 +/- 25.7 kcal/kg/d. Tolerance to nutrition was good and was not affected by the infusion of vasoactive drugs, sedatives, or muscle relaxants. Of the study population, 14.6% presented with gastrointestinal complications, 9.4% with abdominal distension and/or excessive gastric residue, and 7.5% with diarrhea. Nutrition was withdrawn in 2.4% of the patients because of gastrointestinal complications. Mortality was not related to any characteristic of the nutrition or to gastrointestinal complications.
Transpyloric enteral nutrition is useful and is a simple feeding method that enables a high calorie delivery to be provided with few complications in the postoperative period of cardiac surgery in children, including those receiving high doses of sedatives and muscle relaxants.
本研究旨在评估经幽门肠内营养在儿童心脏手术后的应用价值。
对心脏手术后接受经幽门肠内营养的儿童进行了一项前瞻性观察研究。研究了营养类型、持续时间、耐受性及并发症。
212名年龄在3天至17岁之间的儿童在心脏手术后接受了经幽门肠内营养。经幽门喂养的持续时间为16±23.8天，最大热量输送为85.1±25.7千卡/千克/天。营养耐受性良好，不受血管活性药物、镇静剂或肌肉松弛剂输注的影响。在研究人群中，14.6%出现胃肠道并发症，9.4%出现腹胀和/或胃残余物过多，7.5%出现腹泻。2.4%的患者因胃肠道并发症而停止营养支持。死亡率与营养的任何特征或胃肠道并发症均无关。
经幽门肠内营养是一种有用且简单的喂养方法，能够在儿童心脏手术后为其提供高热量输送，且并发症较少，包括那些接受高剂量镇静剂和肌肉松弛剂的儿童。
