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Chronic Intestinal Failure in Children: An International Multicenter Cross-Sectional Survey
- Lezo, A. (author)
- Diamanti, A. (author)
- Marinier, E. M. (author)
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- Tabbers, M. (author)
- Guz-Mark, A. (author)
- Gandullia, P. (author)
- Spagnuolo, M. I. (author)
- Protheroe, S. (author)
- Peretti, N. (author)
- Merras-Salmio, L. (author)
- Hulst, J. M. (author)
- Kolacek, S. (author)
- Ee, L. C. (author)
- Lawrence, J. (author)
- Hind, J. (author)
- D'Antiga, L. (author)
- Verlato, G. (author)
- Pukite, I. (author)
- Di Leo, G. (author)
- Vanuytsel, T. (author)
- Doitchinova-Simeonova, M. K. (author)
- Masconale, L. (author)
- Maiz-Jimenez, M. (author)
- Cooper, S. C. (author)
- Brillanti, G. (author)
- Nardi, E. (author)
- Sasdelli, A. S. (author)
- Lal, S. (author)
- Pironi, L. (author)
- show less...
- (creator_code:org_t)
- 2022-04-30
- 2022
- English.
- In: Nutrients. - : MDPI AG. - 2072-6643. ; 14:9
- Journal article (peer-reviewed)
Abstract
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- Background: The European Society for Clinical Nutrition and Metabolism database for chronic intestinal failure (CIF) was analyzed to investigate factors associated with nutritional status and the intravenous supplementation (IVS) dependency in children. Methods: Data collected: demographics, CIF mechanism, home parenteral nutrition program, z-scores of weight-for-age (WFA), length or height-for-age (LFA/HFA), and body mass index-for-age (BMI-FA). IVS dependency was calculated as the ratio of daily total IVS energy over estimated resting energy expenditure (%IVSE/REE). Results: Five hundred and fifty-eight patients were included, 57.2% of whom were male. CIF mechanisms at age 1-4 and 14-18 years, respectively: SBS 63.3%, 37.9%; dysmotility or mucosal disease: 36.7%, 62.1%. One-third had WFA and/or LFA/HFA z-scores < -2. One-third had %IVSE/REE > 125%. Multivariate analysis showed that mechanism of CIF was associated with WFA and/or LFA/HFA z-scores (negatively with mucosal disease) and %IVSE/REE (higher for dysmotility and lower in SBS with colon in continuity), while z-scores were negatively associated with %IVSE/REE. Conclusions: The main mechanism of CIF at young age was short bowel syndrome (SBS), whereas most patients facing adulthood had intestinal dysmotility or mucosal disease. One-third were underweight or stunted and had high IVS dependency. Considering that IVS dependency was associated with both CIF mechanisms and nutritional status, IVS dependency is suggested as a potential marker for CIF severity in children.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- children
- chronic intestinal failure
- home parenteral nutrition
- body
- growth
- intravenous supplementation
- intestinal transplantation
- transition
- home parenteral-nutrition
- rehabilitation programs
- enteral nutrition
- italian society
- adult patients
- young-people
- gastroenterology
- classification
- prevalence
- hepatology
- Nutrition & Dietetics
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- ref (subject category)
- art (subject category)
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- By the author/editor
- Lezo, A.
- Diamanti, A.
- Marinier, E. M.
- Tabbers, M.
- Guz-Mark, A.
- Gandullia, P.
- show more...
- Spagnuolo, M. I.
- Protheroe, S.
- Peretti, N.
- Merras-Salmio, L ...
- Hulst, J. M.
- Kolacek, S.
- Ee, L. C.
- Lawrence, J.
- Hind, J.
- D'Antiga, L.
- Verlato, G.
- Pukite, I.
- Di Leo, G.
- Vanuytsel, T.
- Doitchinova-Sime ...
- Ellegård, Lars, ...
- Masconale, L.
- Maiz-Jimenez, M.
- Cooper, S. C.
- Brillanti, G.
- Nardi, E.
- Sasdelli, A. S.
- Lal, S.
- Pironi, L.
- show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Health Sciences
- and Nutrition and Di ...
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- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Gastroenterology ...
- Articles in the publication
- Nutrients
- By the university
- University of Gothenburg
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