Polish experience in nutrition support in children.

Organization of enteral nutrition programme in Poland has developed rapidly in the last years, however, the underdiagnosis and late diagnosis of malnutrition are still the major challenges. For those children who are unable to tolerate enteral diet, intravenous support is required. Main achievements in our parenteral nutrition programme (PN) consist in decreasing septic complication rate and introducting fish oil based emulsions for prevention of PN-related liver disease.

Long-term follow-up of patients on home parenteral nutrition in Europe: implications for intestinal transplantation.

Background: The indications for intestinal transplantation (ITx) are still debated. Knowing survival rates and causes of death on home parenteral nutrition (HPN) will improve decisions.

Methods: A prospective 5-year study compared 389 non-candidates (no indication, no contraindication) and 156 candidates (indication, no contraindication) for ITx.

Survival of patients identified as candidates for intestinal transplantation: a 3-year prospective follow-up.

Background & Aims: The US Medicare indications for intestinal transplantation are based on failure of home parenteral nutrition. The American Society of Transplantation also includes patients at high risk of death from their primary disease or with high morbidity intestinal failure. A 3-year prospective study evaluated the appropriateness of these indications.

Candidates for intestinal transplantation: a multicenter survey in Europe.

Objectives: Epidemiology of candidacy for intestinal transplantation (ITx) and timing for referral for ITx are unknown. Patient candidacy and physician attitudes toward ITx were investigated among centers that participated in previous European surveys on home parenteral nutrition (HPN).

Methods: Patients on HPN for benign intestinal failure (IF) were evaluated by a structured questionnaire.

Hydrolyzed versus nonhydrolyzed protein diet in short bowel syndrome in children.

Background: There is no consensus regarding the optimal enteral formula in patients with neonatal short bowel syndrome. The common practice in many centers is to give a semielemental diet.

Methods: To test the hypothesis that hydrolyzed protein is not superior to standard formula in promoting growth and development of children with short bowel syndrome, 10 children aged 4.