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1/2017
vol. 92 abstract:
Case report
The variable tolerance of nutrition through the digestive tract in a child with Arnold-Chiari syndrome - a case report
Martyna Rekowska
,
Inga Adamska
,
Anna Szaflarska-Popławska
,
Julia Gawryjołek
,
Marlena Jakubczyk
,
Aneta Krogulska
,
Mieczysława Czerwionka-Szaflarska
PEDIATRIA POLSKA 92 (2017) 95-98
Online publish date: 2018/03/07
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Feeding disorders are diagnosed in up to 90% of patients with chronic neurological diseases. We present a case of infant with Arnold-Chiari syndrome who was hospitalized several times in the clinic because of feeding difficulties. The patient had variable tolerance of nutrition through the digestive tract (oral, gastric and enteric feeding), periodically requiring the use of the parenteral nutrition. In our patient, despite performed diagnostic tests, the cause of disorders remains unknown. Adapting the methods of nutrition to the patient, however, resulted in remaining good nutritional status, helped to conduct rehabilitation and eventually enabled exclusive oral feeding.
In patients with chronic neurological diseases, constant dietetic care is needed with assessment of nutritional status and feeding methods. In the case of feeding disorders, especially manifesting with dysphagia, chronic enteral feeding should be considered. Periodic parenteral nutrition is indicated in the case of intolerance of enteral feeding. keywords:
Arnold-Chiari syndrome, Feeding disorders, Enteral nutrition, Parenteral nutrition |
POLSKI
