Burke Shannon, Laverde Ruth, Klarich Mary Kate, Vu Lan Tuyet
From University of California, San Francisco Benioff Children's Hospital-, San Francisco, CA.
the School of Medicine, University of California, San Francisco, San Francisco, CA.
J Pediatr Gastroenterol Nutr. 2023 Mar 1;76(3):e61-e65. doi: 10.1097/MPG.0000000000003650. Epub 2022 Oct 27.
The nutritional requirements of neonates with congenital abdominal wall defects (AWDs) remain poorly described. In particular, there is a lack of literature on the calorie, protein, and micronutrient needs of those with AWD. Nutritional therapy is a cornerstone of care in patients with burns due to the metabolic consequences of injury to the epithelial layer. Similarly, children with AWD may require specialized nutritional plans to support their growth and wound healing. This case series supports the theory that patients with ruptured omphaloceles may require higher calorie, protein, and micronutrient provisions in comparison to patients with intact omphaloceles, due to increased metabolic demand to support wound healing and skin epithelialization.
先天性腹壁缺损（AWD）新生儿的营养需求仍未得到充分描述。特别是，关于AWD患儿的热量、蛋白质和微量营养素需求的文献匮乏。由于上皮层损伤的代谢后果，营养治疗是烧伤患者护理的基石。同样，AWD患儿可能需要专门的营养计划来支持其生长和伤口愈合。本病例系列支持以下理论：与脐膨出完整的患儿相比，脐膨出破裂的患儿可能需要更高的热量、蛋白质和微量营养素供应，因为支持伤口愈合和皮肤上皮化的代谢需求增加。
