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Nutrition Management Through Nitrogen Balance Analysis in Patient With Short Bowel Syndrome

  • Aram Kim (Department of Nutrition Services, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Sunglee Sim (Department of Nutrition Services, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeeyeon Kim (Department of Nutrition Services, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeongkye Hwang (Department of Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Junghyun Park (Department of Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jehoon Lee (Department of Laboratory Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeongeun Cheon (Department of Pharmacy, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2022.03.10
  • 심사 : 2022.04.04
  • 발행 : 2022.04.30

초록

Patients with short bowel syndrome (SBS) have a high risk of developing parenteral nutrition (PN)-associated complications. Therefore, diet or enteral nutrition and PN should be modified to limit such complications. N balance analysis is a method of calculating the amount of protein required to achieve N equilibrium in the body based on intake and excretion. It is important to reduce dependence on PN and achieve the recommended range of N balance 2-4 g with an appropriate diet. We report a recent experience with nutrition modification using N balance analysis and suggest it as a useful method to reduce dependence on PN in nutrition management of SBS patients and in continuing active intestinal rehabilitation.

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참고문헌

  1. Corrigan ML, Roberts K, Steiger E. Adult short bowel syndrome. Cambridge: Academic Press; 2019.
  2. Limketkai BN, Hurt RT, Palmer LB. The ASPEN adult nutrition support core curriculum. 3rd ed. Silver Spring (MD): American Society for Parenteral and Enteral Nutrition (ASPEN); 2017.
  3. Parrish CR, DiBaise JK. Managing the adult patient with short bowel syndrome. Gastroenterol Hepatol (N Y) 2017;13:600-8.
  4. Bielawska B, Allard JP. Parenteral nutrition and intestinal failure. Nutrients 2017;9:466.
  5. Gong JF, Zhu WM, Yu WK, Li N, Li JS. Role of enteral nutrition in adult short bowel syndrome undergoing intestinal rehabilitation: the long-term outcome. Asia Pac J Clin Nutr 2009;18:155-63.
  6. Wall EA. An overview of short bowel syndrome management: adherence, adaptation, and practical recommendations. J Acad Nutr Diet 2013;113:1200-8.
  7. Matarese LE, O'Keefe SJ, Kandil HM, Bond G, Costa G, Abu-Elmagd K. Short bowel syndrome: clinical guidelines for nutrition management. Nutr Clin Pract 2005;20:493-502.
  8. Thompson JS, Rochling FA, Weseman RA, Mercer DF. Current management of short bowel syndrome. Curr Probl Surg 2012;49:52-115.
  9. Gropper SS, Smith JL, Groff JL. Advanced nutrition and human metabolism. Boston (MA): Cengage Learning; 2008.
  10. Nassir F, Rector RS, Hammoud GM, Ibdah JA. Pathogenesis and prevention of hepatic steatosis. Gastroenterol Hepatol (N Y) 2015;11:167-75.
  11. Jordan T, Popovic P, Rotovnik Kozjek N. Liver steatosis in adult patients on home parenteral nutrition. Eur J Clin Nutr 2020;74:255-60.
  12. Korean Dietetics Association (KDA). Manual of medical nutrition therapy. 3rd ed. Seoul: KDA; 2013.