Nutrition in Clinical Practice

 

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Nutrition in Clinical Practice, Vol. 20, No. 6, 674-677 (2005)
DOI: 10.1177/0115426505020006674

Clinical Observations

Adding Dietary Green Beans Resolves the Diarrhea Associated With Bowel Surgery in Neonates: A Case Study

Douglas Drenckpohl, MS, RD, CNSD, LDN*, James Hocker, MD*, Maliha Shareef, MD*, Ravindra Vegunta, MD, FRCSEd, FACS, FAAP{dagger} and Cheryl Colgan, RN*

* Department of Division of Neonatology and{dagger} Department of Pediatric Surgery, Department of Pediatrics, UIC College of Medicine at Peoria and Children's Hospital of Illinois at OSF Saint Francis Medical Center, Peoria, Illinois

Correspondence: Douglas Drenckpohl, MS, RD, CNSD, LDN, Children's Hospital of Illinois at OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL 61637. Electronic mail may be sent to douglas.c.drenckpohl{at}osfhealthcare.org.

Feeding intolerance is a common problem in infants who have had multiple or extensive resections of their small bowel. Chronic malabsorption and diarrhea are common side effects that inhibit the advancement of enteral feedings and prolong dependence on parenteral nutrition (PN). Poor growth, recurrent central line infections, cholestasis, and osteopenia are well-known complications associated with long-term PN dependency. It has been shown that, in adults with short bowel syndrome, providing dietary fiber can improve tolerance to enteral feeding. There are no published studies that have addressed the influence of dietary fiber on feeding intolerance in infants after bowel resections. The ensuing case studies illustrate the positive outcomes of fiber use in infants with diarrhea secondary to small bowel resections.


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