Abstract

SALAZAR QUERO, Jose Carlos et al. Short bowel syndrome and failure intestinal features in our community. Nutr. Hosp. [online]. 2015, vol.31, n.3, pp.1109-1115. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2015.31.3.8105.

Introduction: Intestinal failure is being an entity with higher prevalence in the pediatric age, especially due to bowel resections causing the appearance of a short bowel syndrome. Objectives: To determine the prevalence and etiology of cases of short bowel syndrome (SIC) and Intestinal Failure (FI) existing in Andalusia. Analyze factors involved in evolution, the number of transplant patients and to know the time required to achieve enteral autonomy, studying whether there are differences in management between different participants. Methods: Multicenter retrospective descriptive observational study in which are collected data of patients diagnosed with short bowel syndrome or intestinal failure in 6 hospitals in Andalusia in the period from 1 January 2008 to 31 January 2014. Results: 25 patients. Average age at diagnosis 7.4 months. Average length of remnant intestine: 113.8 cm; 64% of patients with <75 cm length remaining intestine. We show that: the early introduction of enteral nutrition is a factor favoring the suspension of the NP (p = 0'033); and that the prevention of liver disease associated with parenteral nutrition (EHANP) is favored by: the use of fewer lipid Parenteral Nutrition (p = 0'008), a greater length of remaining intestine (p = 0'049 ), the early introduction of enteral nutrition (p = 0'009) and a lower gestational age (p = 0'006). Discussion: Early Introduction of NE is essential for intestinal adaptation, weaning from PN and avoid the appearance of EHANP. The use of low amounts of lipids prevents development of EHANP.

Keywords : Short bowel syndrome; Parenteral nutrition; Enteral nutrition.

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