Nutrition Support for Pediatric Surgical Patients

Jun Beom Park
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Abstract

Pediatric patients have characteristics such as a low capacity for storing energy/nutrients and high energy metabolism as compared those of adults. Because of the inherent characteristics that they are continually growing, supplying both rapid and adequate nutrition is of the utmost importance. In the case of children undergoing surgery (and particularly gastrointestinal surgery), there is a high possibility of a restricted supply of nutrition, and so active intervention to supply sufficient nutrition must be carried out. Of course, enteral nutrition is preferred, but continuous monitoring of nutrition is of paramount importance; thus, parenteral nutrition should be provided when necessary. Nutritional support requires continuous monitoring when and if complications arise. The complications of parenteral nutrition have yet to be overcome, so further research on this topic is certainly warranted. (Surg Metab Nutr 2019;10:9-14)
儿科外科患者的营养支持
与成人相比,儿科患者具有能量/营养储存能力低、能量代谢能力高等特点。由于它们不断生长的固有特征,提供迅速和充足的营养是至关重要的。对于接受手术(特别是胃肠手术)的儿童,营养供应很可能受到限制,因此必须进行积极干预,以提供足够的营养。当然,肠内营养是首选,但持续监测营养是至关重要的;因此,必要时应提供肠外营养。当并发症出现时,营养支持需要持续监测。肠外营养的并发症尚未被克服,因此对这一主题的进一步研究当然是有必要的。(中华外科杂志2019;10:9-14)
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