Document Detail

A case study utilizing an enteral refeeding technique in a premature infant with short bowel syndrome.
MedLine Citation:
PMID:  14695498     Owner:  NLM     Status:  MEDLINE    
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.
Victoria A Gardner; J Mark Walton; Lorraine Chessell
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
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:
Created Date:  2003-12-25     Completed Date:  2004-05-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  258-68; quiz 269-71     Citation Subset:  IM    
Neonatal Intensive Care Unit, McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, ON, Canada.
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MeSH Terms
Adaptation, Physiological / physiology
Catheterization, Central Venous / adverse effects
Enteral Nutrition / methods*
Enterostomy / methods*
Gastrointestinal Tract / anatomy & histology,  physiology*
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / physiopathology,  therapy*
Liver Failure / prevention & control
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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