Hojsak Iva, Kolacek Sanja
Referentni centar za djerju gastroenterologiju i prehranu, Klinika za djecje bolesti Zagreb, Medicinski fakultet Sveucilista u Zagrebu.
Lijec Vjesn. 2013 Sep-Nov;135(9-10):264-8.
Although the importance of enteral nutrition in the treatment of intestinal failure is well recognized, the optimal regime is still a matter of debate and clinicians often use different treatment algorithms. Therefore, the aim of this review was to present an overview of currently available evidence on the role of enteral nutrition in children with intestinal failure and to give evidence-based recommendations for clinical practice. According to the published data, enteral feeding should be initiated early after surgical resection with continuous feeding mode, gradually increasing the amount and concentration of formula based on child's clinical condition. If available, breast milk should be recommended; otherwise the priority is given to an elemental formula. It is very important to stimulate the oral intake. Optimal care for patients with intestinal failure can significantly reduce complications, primarily severe infections and liver disease, and the role of enteral nutrition in this process is of extreme importance.
尽管肠内营养在治疗肠衰竭中的重要性已得到充分认可，但最佳方案仍存在争议，临床医生常常采用不同的治疗算法。因此，本综述的目的是概述目前关于肠内营养在儿童肠衰竭中作用的现有证据，并为临床实践提供基于证据的建议。根据已发表的数据，肠内喂养应在手术切除后尽早开始，采用持续喂养模式，并根据患儿的临床状况逐渐增加配方奶的量和浓度。如果可能，应推荐母乳喂养；否则应优先选择要素配方奶。刺激经口摄入非常重要。对肠衰竭患者的最佳护理可显著减少并发症，主要是严重感染和肝病，肠内营养在这一过程中的作用极其重要。
