Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.
Nutr Clin Pract. 2018 Apr;33(2):286-294. doi: 10.1002/ncp.10080.
This clinical observation describes the enteral nutrition (EN) management of 2 toddlers at high nutrition risk due to cystic fibrosis (CF), exocrine pancreatic insufficiency, and comorbid medical conditions. The first case report describes a boy with severe malabsorption after intestinal resection. The second case report reviews a boy with CF and neuroblastoma. When pancreatic enzyme replacement therapy with EN was not effective or appropriate, use of an in-line digestive cartridge was initiated. While using the digestive cartridge, both children showed improvements in their anthropometric measures. This observation reviews the nutrition management throughout their clinical course and describes the use of a digestive cartridge with EN.
本临床观察描述了两例因囊性纤维化（CF）、外分泌胰腺功能不全和合并症而处于高营养风险的幼儿的肠内营养（EN）管理。第一个病例报告描述了一名因肠道切除术后严重吸收不良的男孩。第二个病例报告回顾了一名患有 CF 和神经母细胞瘤的男孩。当 EN 联合胰酶替代治疗无效或不适用时，开始使用在线消化盒。在使用消化盒时，两个孩子的人体测量指标均有所改善。本观察回顾了他们整个临床过程中的营养管理，并描述了使用 EN 联合消化盒的情况。
