Long-term nutritional assessment of patients with severe short bowel syndrome managed with home enteral nutrition and oral intake

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author BORGES, V. Chaer
SILVA, Ma de L. Teixeira da
DIAS, Ma C. Goncalves FMUSP-HC
GONZALEZ, Ma C.
WAITZBERG, D. Linetzky FMUSP-HC
dc.date.issued 2011
dc.identifier.citation NUTRICION HOSPITALARIA, v.26, n.4, p.834-842, 2011
dc.identifier.issn 0212-1611
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/23007
dc.description.abstract Background: Parenteral nutrition (PN) is used to control the nutritional state after severe intestinal resections. Whenever possible, enteral nutrition (EN) is used to promote intestinal rehabilitation and reduce PN dependency. Our aim is to verify whether EN + oral intake (01) in severe short bowel syndrome (SBS) surgical adult patients can maintain adequate nutritional status in the long term. Methods: This longitudinal retrospective study included 10 patients followed for 7 post-operative years. Body mass index (BMI), percentage of involuntary loss of usual body weight (UWL), free fat mass (FFM), and fat mass (FM) composition assessed by bioelectric impedance, and laboratory tests were evaluated at 6, 12, 24, 36, 48, 60, 72, and 84 months after surgery. Energy and protein offered in HPN and at long term by HEN+ oral intake (01), was evaluated at the same periods. The statistical model of generalized estimating equations with p <0,05 was used. Results: With long term EN + 01 there was a progressive increase in the UWL, a decrease in BMI, FFM, and FM (p < 0,05). PN weaning was possible in eight patients. Infection due to central venous catheter (CVC) contamination was the most common complication (1.2 episodes CVC/patient/year). There was an increase in energy and protein intake supply provided by HEN+OI (p <0.05). All patients survived for at least 2 years, seven for 5 years and six for 7 years of follow-up. Conclusions: In the long term SBS surgical adult patients fed with HEN+OI couldn't maintain adequate nutritional status with loss of FM and FFM. (Nutr Hosp. 2011;26:834-842) DOI:10.3305/nh.2011.26.4.5153
dc.language.iso eng
dc.publisher AULA MEDICA EDICIONES
dc.relation.ispartof Nutricion Hospitalaria
dc.rights openAccess
dc.subject Short bowel syndrome; Long-term nutritional outcome; Home parenteral nutrition; Home enteral nutrition; Oral intake
dc.subject.other total parenteral-nutrition; intestinal failure; absorption; growth; rehabilitation; index; colon; mass
dc.title Long-term nutritional assessment of patients with severe short bowel syndrome managed with home enteral nutrition and oral intake
dc.type article
dc.rights.holder Copyright AULA MEDICA EDICIONES
dc.description.group LIM/35
dc.identifier.doi 10.3305/nh.2011.26.4.5153
dc.identifier.pmid 22470032
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author DIAS, Ma C. Goncalves:HC:ICHC
hcfmusp.author WAITZBERG, D. Linetzky:FM:MGT
hcfmusp.author.external · BORGES, V. Chaer:GANEP Nutr Humana, Sao Paulo, Brazil
· SILVA, Ma de L. Teixeira da:GANEP Nutr Humana, Sao Paulo, Brazil
· GONZALEZ, Ma C.:Univ Catolica Pelotas, Post Grad Program Hlth & Behav, Pelotas, RS, Brazil
hcfmusp.origem.id 2-s2.0-79960680151
hcfmusp.origem.id WOS:000293152000025
hcfmusp.publisher.city MADRID
hcfmusp.publisher.country SPAIN
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dc.description.index MEDLINE
dc.identifier.eissn 1699-5198
hcfmusp.citation.scopus 10
hcfmusp.affiliation.country Brasil
hcfmusp.scopus.lastupdate 2021-08-27


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