| A case study utilizing an enteral refeeding technique in a premature infant with short bowel syndrome. | |
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MedLine Citation:
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PMID: 14695498 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Premature and full-term infants may be born with congenital abnormalities or develop acquired lesions of the gastrointestinal tract that require the placement of an enterostomy. Enterostomies can result in significant segments of excluded small bowel, creating a functional short bowel syndrome. Infants with enterostomies can develop dehydration, electrolyte imbalance, and failure to thrive. An illustrative case report of a premature infant with short bowel syndrome treated with enteral refeedings via a mucous fistula is presented. This report highlights the lessons learned from the interdisciplinary team's collective 10-year experience with enteral refeeding in infants with enterostomies. The physiologic basis for this approach is reviewed and literature reports are outlined. The specific nursing care and step-by-step techniques to deliver enteral refeeding through the mucous fistula are provided along with implications for clinical practice, education, and research. |
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Authors:
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Victoria A Gardner; J Mark Walton; Lorraine Chessell |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Advances in neonatal care : official journal of the National Association of Neonatal Nurses Volume: 3 ISSN: 1536-0903 ISO Abbreviation: Adv Neonatal Care Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2003-12-25 Completed Date: 2004-05-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101125644 Medline TA: Adv Neonatal Care Country: United States |
Other Details:
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Languages: eng Pagination: 258-68; quiz 269-71 Citation Subset: IM |
Affiliation:
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Neonatal Intensive Care Unit, McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, ON, Canada. vickiegardner@cogeco.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adaptation, Physiological
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physiology Catheterization, Central Venous / adverse effects Enteral Nutrition / methods* Enterostomy / methods* Gastrointestinal Tract / anatomy & histology, physiology* Humans Infant, Newborn Infant, Premature Infant, Premature, Diseases / physiopathology, therapy* Liver Failure / prevention & control Male Malnutrition / physiopathology, prevention & control Short Bowel Syndrome / physiopathology, therapy* Surgical Stomas Water-Electrolyte Balance / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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