Dilemmas in feeding infants with intestinal failure: a neonatologist's perspective

Amy B Hair, Misty Good, Amy B Hair, Misty Good

Abstract

Intestinal failure in neonatal and pediatric populations can be debilitating for patients and difficult to manage for clinicians. Management strategies include referral to an intestinal rehabilitation center, small volume trophic feeds to stimulate the intestine with cautious advancement of enteral nutrition using a standardized and evidence-based feeding protocol, and supplemental parenteral nutrition to optimize an infant's growth and nutrition. In this review, we discuss the causes of intestinal failure, parenteral nutrition strategies, enteral feeding initiation and advancement protocols, as well as the challenges in feeding an infant with intestinal failure.

Conflict of interest statement

COMPETING INTERESTS

The authors declare no competing interests.

© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.

Figures

Fig. 1. High and low risk groups…
Fig. 1. High and low risk groups of infants at risk for Intestinal Failure (IF) and Morbidities.
Parenteral nutrition (PN), necrotizing enterocolitis (NEC), intestinal failure-associated liver disease (IFALD). Figure created with BioRender.com. Adapted with permission from: Hair A and Premkumar M. Intestinal Failure and Intestinal Rehabilitation. In: Gastroenterology: Guidelines for Acute Care of the Neonate 30th edition (2022–2023), Fernandes CJ, Pammi M, Katakam L, et al. (Eds), Baylor College of Medicine, Section of Neonatology, Department of Pediatrics. Copyright © 2022.

Source: PubMed

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