Total management of short gut secondary to midgut volvulus without prolonged total parenteral alimentation.
J Pediatr Surg, 1978/12;13(6D):622-6.
Tepas JJ 3rd, MacLean WC Jr, Kolbach S, Shermeta DW
PMID: 104024
Impact factor: 2.549
Abstract
Absorption studies in rats have shown that intestinal adaptation after catastrophic injury can be stimulated by early enteral feeding. Using this concept, we have devised a technique of early initiation and advancement of oral feedings that begins with Cho-Free and Polycose and gradually adds sucrose and MCT in increasing proportions. The increasing complexity and caloric density of this diet provide sufficient nutrition to allow weaning from total parenteral alimentation within 2--3 wk. Our preliminary experience in babies with midgut volvulus, necrotizing enterocolitis, and gastroschisis has been successful and uncomplicated. These patients have demonstrated consistent weight gain and have been spared the complications associated with prolonged parenteral alimentation.
MeSH terms
Animals; Colon; Female; Humans; Ileum; Infant; Infant Food; Infant, Newborn; Intestinal Absorption; Intestinal Diseases; Intestinal Obstruction; Intestine, Small; Parenteral Nutrition; Rats
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