Pediatric nutritional support

Authors

  • Nivaldo Barroso de Pinho Serviço de Nutrição e Dietética do Hospital do Câncer. Instituto Nacional de Câncer (INCA). Rio de Janeiro (RJ), Brasil
  • Solange Almeida Pacheco Serviço de Nutrição e Dietética do Hospital do Câncer. Instituto Nacional de Câncer (INCA). Rio de Janeiro (RJ), Brasil
  • Katia Gomes Baluz Serviço de Nutrição e Dietética do Hospital do Câncer. Instituto Nacional de Câncer (INCA). Rio de Janeiro (RJ), Brasil
  • Henry Luiz Najman Coordenador da Divisão de Apoio Técnico do Hospital Do Câncer. Instituto Nacional de Câncer (INCA). Rio de Janeiro (RJ), Brasil
  • Simma Ferman Chefe do Serviço de Pediatria Clínica do Hospital do Câncer. Instituto Nacional de Câncer (INCA). Rio de Janeiro (RJ), Brasil

DOI:

https://doi.org/10.32635/2176-9745.RBC.1997v43n4.2866

Keywords:

Pediatric Nutritional Support, Pediatric Nutritional Status, Protein Deficiancy, Cancer In Pediatric Patients

Abstract

The aim of this study is to evaluate the effects of the Nutritional Support on the Nutritional State in hypercatabolic pediatric patients, as well as the inadequacy enteral support products for adults when used in pediatric patients. Two male children between the ages of four and five were evaluated. The Nutritional Support used plus evaluation of the protein catabolic rate ensured the maintenance of these patients in positive nitrogen balance. Despite the positive result to the support with improvement of the serum protein, we do not recommend adult diets for imune depressed children, as opportunistic infecctions may occur from the handling of the fomula.

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References

Bistrian,B.R.; Blackburn,E.L.; Flolowell, E.; Heddle, B. - Protein status of general surgical patients. J Am Med Assoe 20: 858-860, 1974. DOI: https://doi.org/10.1001/jama.230.6.858

Rickard KA.;Grosfeld, J.L.; Coates, T.D, et al. - Advances in nutrition care of children with neoplasic diseases: A review of treatment, research and application, J Am Diet Assoe 86: 1666-1676, 1986 (IV). DOI: https://doi.org/10.1016/S0002-8223(21)04174-2

Dewys, W.D. - Anorexia as a general effect of cancer. Cancer, 43: 2013-2109, 1979. DOI: https://doi.org/10.1002/1097-0142(197905)43:5+<2013::AID-CNCR2820430709>3.0.CO;2-Z

Warren, R.S,; Starnes, F. Jr.; Gabrilove,J.L, et al. - The acute metabolic effects of tumor necrosis factor administration in humans. Arch Surg, 122: 1396-1400, 1987. DOI: https://doi.org/10.1001/archsurg.1987.01400240042007

Lundholm, K.; Edstrom, S.; Ekman,L.; Karlberg,!.; Scherstein,T. - Glucose turnover gluconeogenesis from glycerol and estimation of the net glucose cycling in cancer patients. Cancer, 50: 1142-1150, 1982. DOI: https://doi.org/10.1002/1097-0142(19820915)50:6<1142::AID-CNCR2820500618>3.0.CO;2-I

Copeland, E.M.; Macfadyen, B.U. Jr.; Maccomb, W.S. et al. - Intravenous hyperalimentation in patients with head and neck cancer. Cancer, 35:606-611, 1975. DOI: https://doi.org/10.1002/1097-0142(197503)35:3<606::AID-CNCR2820350310>3.0.CO;2-B

Donaldson, S.S. - Nutritional supportas na adjunct to radiation therapy. J Parent Ent Nutr 8: 302-310, 1984. DOI: https://doi.org/10.1177/0148607184008003302

Nixon, D. W. - The value of parenteral nutrition support. Chemotherapy and radiation treatment. Cancer, 58: 1902, 1913, 1986. DOI: https://doi.org/10.1002/1097-0142(19861015)58:8+<1902::AID-CNCR2820581418>3.0.CO;2-D

Rohdenberg, G.L; Bernhard, A.; Krehbeil, O. - Sugar tolerance in cancer. JAMA, 72: 1.528-9,1919. DOI: https://doi.org/10.1001/jama.1919.02610210024007

Lundholm, K.; Holm, G.; Schresten.T. - Insuline resistence in patients with cancer. Cancer Res 38: 4.665-70, 1978.

Jasani, B.; Donaldson, L.K.; Ratcliff, E.D, et al. - Mechanism of impaired glucose tolerance in patients withneoplasia. Br J Cancer, 38: 287-92, 1978. DOI: https://doi.org/10.1038/bjc.1978.200

Chen, M.K.; Souba, W.W.; Copeland, E.M. - Nutritional support of the surgical oncology patient. Hematol/Oncol Clin N Am, 5: 125-45, 1991. DOI: https://doi.org/10.1016/S0889-8588(18)30458-1

Douglas, R.G.; Shaw, J.H.F. – Metabolics effects of cancer. Br J Surg, 77: 246-54, 1990. DOI: https://doi.org/10.1002/bjs.1800770305

Kern, K.A.; Norton, J. A. - Cancer cachexia. JPEN, 12:28-95, 1988. DOI: https://doi.org/10.1177/0148607188012003286

Langstein, N.H.; Norton, J. A. – Mechanisms of cancer cachexia. Hematol/Oncol Clin N Am, 5:103-23, 1991. DOI: https://doi.org/10.1016/S0889-8588(18)30457-X

Vlassara, H.; Spiegel, R.J.; Doval, D.S. et al. - Reduced plasma lipoprotein lipase activity in patients with malignancy-associated weight loss. Horm Metabol Res, 18: 698-703, 1986. DOI: https://doi.org/10.1055/s-2007-1012410

Daly, J.M.; Thom, A.K. - Neoplastic diseases. In: Kinney, J.M.; Jeejeebhoy, K.N.; Hill, G.L. et al. Nutrition and metabolismo in patient care. Philadelphia, W.B. Sauders. pp. 567-87, 1988.

Mauer, A.M.; Burgess Jr.; Donaldson, S.S. et al. - Special nutritional needs of children with malignancies: A review. JPEN 14: 315-324, 1990(IV). DOI: https://doi.org/10.1177/0148607190014003315

Rickard, K.A.; Loghmani, E.S.; Grosfeld J.L. et al. - Short and long-term effectiveness of enteral and parenteral nutrition in reversing or preventing protein-energy malnutrition in advanced neuroblastoma. Cancer 56: 2881-2897, 1985(Ib). DOI: https://doi.org/10.1002/1097-0142(19851215)56:12<2881::AID-CNCR2820561228>3.0.CO;2-7

Bozzetti, F. - Effects of artificial nutrition on the nutritional status of cancer patients. JPEN, 13:406-20, 1989. DOI: https://doi.org/10.1177/0148607189013004406

Brennan, M.F. - Total parenteral nutrition in the cancer patients. N Engl J Med, 305: 375-382, 1981. DOI: https://doi.org/10.1056/NEJM198108133050705

Koretz, R.L. - Parenteral nutrition: is it oncologically logical? J Clin Oncol, 2: 534-542, 1981. DOI: https://doi.org/10.1200/JCO.1984.2.5.534

Lipman, T.O. - Clinical Trials of nutritional support in cancer. Parenteral and enteral therapy. Hematol/Oncol Clin N Am, 5: 91-102, 1991. DOI: https://doi.org/10.1016/S0889-8588(18)30456-8

Rickard, K.A; Godshall, B.J.; Loghmani, E.S., et al. - Integration of nutrition support into oncologic treatment protocols for high and low nutritional risk children with Wilms’ tumor: A prospective randomized study. Cancer 64: 491-509, 1989 (Ib).

Torosian, M.H.; Mullen,J.L.; Miller, E.E. et al. - Adjuvant, pulse total parenteral nutrition and tumor response to cycle-specific and cycle-nonspecific chemotherapy. Surgery,94: 291-8, 1983.

Torosian, M.H.; Tsou,K.C.; Daly, J.N. et al. - Alteration of tumor cell kinetics by pulse total parenteral nutrition. Potencial therapeutic implications. Cancer, 53: 1, 409-15, 1984. DOI: https://doi.org/10.1002/1097-0142(19840315)53:6<1409::AID-CNCR2820530632>3.0.CO;2-8

Rickard, K.A.; Godshall, B.J., Loghmani, E.S. et al. - Integration of nutrition support into oncologic treatment protocols for high and low nutritional risk children with Wilms’ tumor: A prospective randomized study. Cancer 64: 491-509, 1989(Ib). DOI: https://doi.org/10.1002/1097-0142(19890715)64:2<491::AID-CNCR2820640224>3.0.CO;2-Y

Campos, A.C.L.; Meguid, M.M. - Mechanism of improved nitrogen sparing of branched chain aminoacid. tpn solucions enriched with different leucine concentration in malnourished post operative patients. Surgery, 90; 195-203,1981.

Meguid, M.M.; Meguid, V. – Preoperative identification of the surgical cancer patient in need of postoperative supportive total parenteral nutrition. Cancer, 55: suppl; 258- 62, 1985. DOI: https://doi.org/10.1002/1097-0142(19850101)55:1+<258::AID-CNCR2820551309>3.0.CO;2-H

Casewell, M.W. - Nasogastric feeds as a source of Klebsiella infection for intensive care patients. Research Clinicai Forums I: 101 - 105,1979.

Pottecher, B.; Goetc, M.L.; Jacquemaire, M.A.; Reeb, E.; Lavillaureix, J. - Enterocolites infectiuses chez des malades de reanimation alimentes par sonde nasogastrique. Annales de L ‘ Anesthesiologie Francaise 20: 595-602,1979.

Casewell, M.W.; Cooper, J.E.; Webster, M. - Enteral feeds contaminated with Enterobacter cloacae as a cause of septicaemia. British Medicai Journal 282: 973-981, 1981. DOI: https://doi.org/10.1136/bmj.282.6268.973

Baldwin, B.A.; Zagoren, A.J.; Rose, N. - Bacterial contamination of continuous infused enteral alimentation with needle catheter jejunostomy. Journal of Parenteral and Enteral Nutrition 8: 30-33,1983. DOI: https://doi.org/10.1177/014860718400800130

Casewell, M.W.; Philpott-Howard, J. - Sepcaemia from inadvertent intavenous administration of enteral feeds. Journal of Hospital Infection 4: 403-405,1983. DOI: https://doi.org/10.1016/0195-6701(83)90012-9

Gutman, L.T.; Idriss, Z.H., Gehibackmon, M.D. - Neonatal staphylococcal enterocolitis: association with indwelling feeding catheters and S. aureus colonization. Journal of Pediatrics 8: 836 - 839,1976. DOI: https://doi.org/10.1016/S0022-3476(76)81127-4

Published

2022-09-27

How to Cite

1.
Pinho NB de, Pacheco SA, Baluz KG, Najman HL, Ferman S. Pediatric nutritional support. Rev. Bras. Cancerol. [Internet]. 2022 Sep. 27 [cited 2024 Jul. 22];43(4):257-63. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/2866

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ORIGINAL ARTICLE

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