L. Suyun, He Yuan, Liu Xiaoqian, Ji Linlin, Chunxia Chen, Li Qianyu
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Role of nutritional support in the treatment of infants with primary chylous reflux obstacle
Objective
To evaluate the effectiveness of nutritional support in the treatment of primary chylous reflux obstacle caused by primary lymphatic dysplasia among infants and investigate the effects of the essential components of therapeutic formula milk in treating this disease.
Methods
Seven infants, who were diagnosed at Beijing Shijitan Hospital between 2012 and 2014 with primary chylous reflux obstacle and aged (8.9±4.6) months at the onset, were retrospectively analyzed to evaluate effectiveness of the nutrition support and prognosis of the disease.
Results
After personalized enteral nutrition support(using proteins, short peptides and medium-chain triglyceride) of (8.3±2.8) months, heights and weights of all the seven infants were kept between the 3rd and 97th percentile lines, and the growth curve showed onward and upward trend. Their plasma albumin levels reached (43.7±4.4)g/L. The infants defecated 1-2 times a day and the texture of feces was formed and soft with yellow color.
Conclusion
Clinical symptoms and physical signs of the seven infants were improved after nutrition support, which contributed to the recovery.
Key words:
Primary lymphatic dysplasia; Disorders of the circulation of chyle; Chylothorax; Chylous ascitis; Nutritional support
期刊介绍：
The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch.
The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.
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