[Modular enteral nutrition in pediatrics].
BACKGROUND
Modular Enteral Nutrition may be a substitute for Parenteral Nutrition in children with different pathologies.


METHODS
Study of 4 children with different pathologies selected from a group of 40 admitted to the Maternal-Childrens Hospital "Valle de Hebrón" in Barcelona, who received modular enteral nutrition. They were monitored on a daily basis by the Dietician Service. Modular enteral nutrition consists of modules of proteins, peptides, lipids, glucids and mineral salts-vitamins.


RESULTS
1.--Craneo-encephalic traumatisms with loss of consciousness, Feeding with a combination of parenteral nutrition and modular enteral nutrition for 7 days. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended and modular enteral nutrition alone used up to a total of 43 days. 2.--55% burns with 36 days of hyperproteic modular enteral nutrition together with normal feeding. A more rapid recovery was achieved with an increase in total proteins and albumin. 3.--Persistent diarrhoea with 31 days of modular enteral nutrition, 5 days on parenteral nutrition alone and 8 days on combined parenteral nutrition and modular enteral nutrition. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended. 4.--Mucoviscidosis with a total of 19 days on modular enteral nutrition, 12 of which were exclusively on modular enteral nutrition and 7 as a night supplement to normal feeding.


CONCLUSIONS
We administered proteic intakes of up to 20% of the total calorific intake and in concentrations of up to 1.2 calories/ml of the final preparation, always with a good tolerance.


CONCLUSIONS
Modular enteral nutrition can and should be used as a substitute for parenteral nutrition in children with different pathologies, thus preventing the complications inherent in parenteral nutrition.
Murillo Sanchís
S
S
Servicio de Dietética, Hospital Materno-Infantil Valle Hebrón.
Prenafeta Ferré
M T
MT
Sempere Luque
M D
MD
D002056:Burns; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma; D003550:Cystic Fibrosis; D003967:Diarrhea; D004750:Enteral Nutrition; D006801:Humans; D007223:Infant; D010288:Parenteral Nutrition
Nutrición enteral modular en pediatría.