Impact of nutrition in the treatment of congenital diaphragmatic hernia

Keita Terui, Noriaki Usui, Yuko Tazuke, Kouji Nagata, Miharu Ito, Hiroomi Okuyama, Masahiro Hayakawa, Tomoaki Taguchi, Yasunori Sato, Hideo Yoshida

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients. Methods: A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or <50 kcal/kg/day at 1 week of age, and EN ≥ or <60 kcal/kg/day at 2 weeks of age. Changes in bodyweight at 30, 60, and 90 days of age were compared. Results: The higher EN group (n = 39) had greater mean weight gain than the lower EN group (n = 66; 90 days: 2,501 g, 95% CI: 2,294–2,710 g vs 1,706 g, 95% CI: 1,553–1,861 g; P <0.001). When patients received lower EN, the higher PN group (n = 24) had greater mean weight gain than the lower PN group (n = 42; 90 days: 1,768 g, 95% CI: 1,574–1,961 g vs 1,411 g, 95% CI: 1,264–1,558 g; P = 0.004). Conclusion: The amount of EN in the acute phase of CDH management is essential for weight gain during infancy. When patients are intolerant to adequate EN, supportive PN is also essential.

Original languageEnglish
Pages (from-to)482-488
Number of pages7
JournalPediatrics International
Volume61
Issue number5
DOIs
Publication statusPublished - May 2019

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Impact of nutrition in the treatment of congenital diaphragmatic hernia'. Together they form a unique fingerprint.

  • Cite this

    Terui, K., Usui, N., Tazuke, Y., Nagata, K., Ito, M., Okuyama, H., Hayakawa, M., Taguchi, T., Sato, Y., & Yoshida, H. (2019). Impact of nutrition in the treatment of congenital diaphragmatic hernia. Pediatrics International, 61(5), 482-488. https://doi.org/10.1111/ped.13837