Kim Aram, Sim Sunglee, Kim Jeeyeon, Hwang Jeongkye, Park Junghyun, Lee Jehoon, Cheon Jeongeun
Department of Nutrition Services, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
Department of Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
Clin Nutr Res. 2022 Apr 26;11(2):146-152. doi: 10.7762/cnr.2022.11.2.146. eCollection 2022 Apr.
Patients with short bowel syndrome (SBS) have a high risk of developing parenteral nutrition (PN)-associated complications. Therefore, diet or enteral nutrition and PN should be modified to limit such complications. N balance analysis is a method of calculating the amount of protein required to achieve N equilibrium in the body based on intake and excretion. It is important to reduce dependence on PN and achieve the recommended range of N balance 2-4 g with an appropriate diet. We report a recent experience with nutrition modification using N balance analysis and suggest it as a useful method to reduce dependence on PN in nutrition management of SBS patients and in continuing active intestinal rehabilitation.
短肠综合征（SBS）患者发生肠外营养（PN）相关并发症的风险很高。因此，应调整饮食或肠内营养及PN，以限制此类并发症。氮平衡分析是一种根据摄入量和排出量计算使体内氮达到平衡所需蛋白质量的方法。通过适当饮食减少对PN的依赖并使氮平衡达到2 - 4克的推荐范围很重要。我们报告了近期使用氮平衡分析进行营养调整的经验，并建议将其作为一种有用的方法，以减少SBS患者营养管理中对PN的依赖，并持续进行积极的肠道康复。
