Document Detail


Nutritional support for the infant with extrahepatic biliary atresia.
MedLine Citation:
PMID:  3106606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Some infants with biliary atresia obtain dramatic improvement for prolonged periods after the performance of hepatic portoenterostomy. Such infants may have life styles not substantially different from those of normal children. In others, the benefit from this operation, if any, is short lived. These infants are very vulnerable to the debilitating effects of severe, prolonged malabsorption and ultimately require orthotopic liver transplantation to sustain life. The physician caring for infants awaiting liver transplantation can do much, not only to prolong survival but to maintain satisfactory growth and development. The key consideration is to provide adequate nitrogen and nonnitrogen calories, liberally utilizing modern methods of enteral alimentation when necessary. In addition, attention must be directed toward several vitamin and mineral deficiencies, particularly those of the fat-soluble vitamins, that inevitably accompany severe malabsorption in children. Management of extrahepatic biliary atresia in infants is difficult and requires meticulous attention to details. Nevertheless, the long-term cure of this disorder provided by liver transplantation makes their care a rewarding experience.
Authors:
S S Kaufman; N D Murray; R P Wood; B W Shaw; J A Vanderhoof
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  110     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-06-09     Completed Date:  1987-06-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  679-86     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Biliary Atresia / therapy*
Calcium, Dietary / therapeutic use
Enteral Nutrition
Humans
Infant
Infant Food*
Infant Nutritional Physiological Phenomena*
Infant, Newborn
Iron / therapeutic use
Monitoring, Physiologic
Vitamin A / therapeutic use
Vitamin D / therapeutic use
Vitamin E / therapeutic use
Vitamin K / therapeutic use
Zinc / therapeutic use
Chemical
Reg. No./Substance:
0/Calcium, Dietary; 11103-57-4/Vitamin A; 12001-79-5/Vitamin K; 1406-16-2/Vitamin D; 1406-18-4/Vitamin E; 7439-89-6/Iron; 7440-66-6/Zinc

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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