Total parenteral nutrition in pediatric surgery Çocuk cerrahisinde total parenteral beslenme
Pediatrik Cerrahi Dergisi, cilt.16, sa.2, ss.74-80, 2002 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 2
- Basım Tarihi: 2002
- Dergi Adı: Pediatrik Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.74-80
- Anahtar Kelimeler: Child, Neonate, Pediatric surgery, TPN
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background/Aim: Total parenteral nutrition (TPN) application has been widely used, especially in neonatal and pediatric surgery clinics, to provide protein and energy needs in patients whose enteral nutrition is impossible, insufficent or harmfull. Method: This is a prospective study comprising 42 patients, principally newborn patients, who underwent gastrointestinal surgery in our clinic during a one year period, who were unable to tolerate conventional feeding and were given TPN by a peripheral venous catheter. The patients were evaluated by age, underlying disease, TPN duration, weight gain, and TPN related complications. Results: Thirtyone (74%) of the patients were neonates, 5 (12%) were infant and 6 (14%) were older children. All of them had major gastrointestinal system surgical procedures. TPN was given for 7-89 days (mean 19.5 days). In this study weight gain during TPN was achieved in 69% of patients. There was no change in weight of 12% of the patients, and weight loss occured in 19% of them. Mean weight gain was 11.5 g/day, 3 patients (7%) had complications related to TPN. Complications were thrombocytopenia cholestasis and nephrocalcinosis. We did not encounter any complications related to catheter use and none of the patients died as a result of TPN. Conclusion: Complications can be minimized by preparing TPN solutions in sterile conditions and by following guidelines during application to the patients. TPN, delivered by peripheral venous catheter, has been shown to be feasible and life saving in newborn and older children undergoing surgery and is helpful in maintenance of growth rates during the period when more conventional feeding methods are impossible. Sufficent weight gain and low complication rate in most of our patients support this opinion.