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Boletín médico del Hospital Infantil de México

Print version ISSN 1665-1146

Abstract

ARAGON- CALVO, Luz Eugenia; GARCIA- ARANDA, José Alberto  and  TOUSSAINT M., Georgina. Fecal output in children with short bowel syndrome. Bol. Med. Hosp. Infant. Mex. [online]. 2005, vol.62, n.4, pp.261-267. ISSN 1665-1146.

Introduction. The aim of this work was to determine the fecal output in a group of 14 children with short bowel. Material and methods. Fecal output (FO) was measured and registered daily in a specially designed sheet and expressed as g/kg of weight per day. Fecal output was measured during a clinical stability period defined as 7 days without infection, absent or minimal reducing substances and no metabolic or hydro electrolytic abnormalities. Results. Age varied from one to 55 months with a median of 3 months.The median FO was 3 1.5 g/kg/day in a 98 period of clinical stability. Median FO was 1 1.86 ± 13.48 g/kg/day in patients under total parenteral nutrition (TPN) 38.18 ± 14.34 g/kg/day in children receiving TPN plus semielemental formula, 33.04 ± 14.81 in TPN plus elemental formula, and 22.62 ± 8.9 g/kg/day in those receiving TPN plus a chicken based formula. Conclusions. The median FO was 3 1.5 g/kg/day and TPN plus chicken based formula appeared to be the most effective dietary combination.

Keywords : Short bowel; fecal output; management.

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