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Tijdschrift voor kindergeneeskunde

, Volume 74, Issue 4, pp 188–190 | Cite as

Nieuwe ontwikkelingen in de behandeling van het kortedarmsyndroom bij kinderen

Dieet en hormoontherapie
  • J. A. J. M. Taminiau
  • D. Tibboel
  • E. H. H. M. Rings
Artikelen
  • 19 Downloads

Samenvatting

Het kortedarmsyndroom wordt veroorzaakt door malabsorptie van macronutriënten, vitaminen en spoorelementen en gaat gepaard met gewichtsverlies. Kinderen met deze aandoening zijn vaak afhankelijk van parenterale voeding, hetgeen weer risico geeft op levensbedreigende complicaties. Aanpassingen in het dieet, maar ook hormoontherapie gericht op de adaptatie van het epitheel, zouden de opnamecapaciteit van de darm kunnen verbeteren, en daarmee afhankelijkheid van parenterale voeding kunnen voorkomen.

Summary

Short bowel syndrome is characterized by malabsorption of nutrients, vitamins en trace elements, resulting in growth retardation. Children with short bowel syndrome are often dependent on total parenteral nutrion (tpn). Parenteral nutrition can have major adverse effects, such as venous access problems, central venous line infections and tpn-related liver damage. Treatment is focused on rehabilitation of the intestinal function and optimal enteral feeding. Research is directed towards optimization of dietary measures and trophic hormones to stimulate intestinal adaptation.

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Copyright information

© Bohn Stafleu van Loghum 2006

Authors and Affiliations

  • J. A. J. M. Taminiau
    • 1
  • D. Tibboel
    • 1
  • E. H. H. M. Rings
    • 1
  1. 1.

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