Metabolic problems and indications for exclusive and prolonged parenteral feeding in children
Ricour, C.
Internationale Zeitschrift für Vitamin- und Ernahrungsforschung. Beiheft 18: 61-65
1979
ISSN/ISBN: 0373-0883 PMID: 122355 Document Number: 145697
In the light of 350 cases of E.P.N., prevention of complications rests upon: 1. supply of hydroelectrolytics and proteinoenergetics at reduced dosage, initially, and then adapted to the anabolic stimulation, taking into consideration the correlations which exist between calories, nitrogen, calcium, phosphorus, zinc and vitamins, particularly those of the B-complex; 2. the necessity to achieve a progressive withdrawal through the supply of enteral elementary substances which will permit a modulated new induction of the digestive enzymatic secretory activities. The indications for such a highly technical program may emanate in the course of serious malabsorption with severe denutrition within the framework of inflammatory and vascular enteropathies and in the presence of certain metabolic disturbances, either congenital or acquired.