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Nutritional Intervention of a Pediatric Patient with Congenital Bronchomalacia and Gastroesophageal Reflux Disease: a Case Report

Authors
 Kyeong Hun Shin  ;  Kyung Won Kim  ;  Song Mi Lee  ;  Soo Yeon Kim  ;  Min Jung Kim  ;  Myung Hyun Sohn  ;  Hosun Lee 
Citation
 Clinical Nutrition Research, Vol.8(4) : 329-335, 2019 
Journal Title
 Clinical Nutrition Research 
ISSN
 2287-3732 
Issue Date
2019
Keywords
Enteral nutrition ; GERD ; Infant ; Pneumonia
Abstract
Gastroesophageal reflux disease (GERD) is closely related to respiratory issues. We reported the case about the nutrition intervention given to a male infant with congenital bronchomalacia, GERD, and recurrent pneumonia. During the first and second pediatric intensive care unit (PICU) stays, his nutrition status and nutrient intake were good. However, during the 18 days of the third PICU admission, his nutrient intake decreased to 75%-80% of his estimated calorie requirement and his Z-score for weight-for-age dropped to -1.4. We conducted nutritional interventions to improve GERD symptoms and nutritional status include avoiding overfeeding by feeding small amounts frequently, using a pre-thickened formula mixed with a high-calorie formula, and feeding through transpyloric tube. As a result, his daily nutrient intakes gradually increased and his Z-score for weight-for-age was normal. In conclusion, it is important to implement individualized intensive nutritional management to ensure adequate nutrition and growth status in infants with lung disease and GERD.
Files in This Item:
T201905748.pdf Download
DOI
10.7762/cnr.2019.8.4.329
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Won(김경원) ORCID logo https://orcid.org/0000-0003-4529-6135
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0002-5634-9709
Kim, Soo Yeon(김수연) ORCID logo https://orcid.org/0000-0003-4965-6193
Sohn, Myung Hyun(손명현) ORCID logo https://orcid.org/0000-0002-2478-487X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174856
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