Suporte nutricional pediátrico
DOI:
https://doi.org/10.32635/2176-9745.RBC.1997v43n4.2866Palabras clave:
Suporte Nutricional Pediátrico, Estado Nutricional Pediátrico, Desnutrição Calórico Proteica, Câncer em Paciente PediátricosResumen
O objetivo deste trabalho é avaliar os efeitos do suporte nutricional sobre o estado nutricional de pacientes pediátricos hipercatabólicos, e analisar os efeitos da utilização de produtos de suporte enteral de adultos em pacientes pediátricos. Foram avaliados dois pacientes pediátricos, ambos do sexo masculino com 4 e 5 anos. Apesar de suporte nutricional empregado haver permitido a manutenção dos pacientes em Balanço Nitrogenado Positivo, garantindo-lhes, uma evolução favorável que se reflete na melhora da concentração de proteínas séricas, o que só foi possível com a identificação da Taxa de Catabolismo Protéico, não recomendamos dietas enterais de adulto para crianças imunodeprimidas face ao risco de contaminação das formulas, o que pode proporcionar infecções oportunistas.
Descargas
Citas
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
