Intravenous lipid emulsions in pediatric patients with intestinal failure. Goulet O. & Lambe C. 2017. Paper abstract bibtex The incidence of cholestatic liver disease (CLD) in pediatric patients suffering intestinal failure (IF) is not well established. Due to persistent portal inflammation, about 20% of these patients will progress to end-stage intestinal failure associated liver disease (IFALD) leading to liver transplant or death. Purpose of review Premature babies as well as infants with short bowel syndrome (SBS) and repeated sepsis (catheter or small intestinal bacterial overgrowth related) are at risk of developing CLD. Clinical data in SBS infants focused on intravenous lipid emulsion (ILE) as an important factor of CLD. Recent findings Compared to the last generation of composite ILE containing fish oil (FO), soybean oil (SO) based ILE, have marked differences in term of oil source, omega-3 fatty acids (FAs) composition, vitamin E (atocopherols) and plant sterols contents, that may explain CLD and CLD reversal. Randomized controlled trials and meta-analysis allow the following recommendations. Summary In pediatric patients with developing or established CLD or IFALD, potential causes should be explored and pure SO ILE should be avoided. A reduction of the ILE dosage and/or the use of the new composite FO based ILE, may be recommended along with the treatment and management of other risk factors. The 10% pure FO ILE should not be used as a sole provision of IV lipids in paediatric patients on total PN but can only serve as a short-term rescue treatment. © Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved.
@misc{goulet_o._intravenous_2017,
title = {Intravenous lipid emulsions in pediatric patients with intestinal failure},
url = {http://journals.lww.com/co-transplantation/pages/default.aspx},
abstract = {The incidence of cholestatic liver disease (CLD) in pediatric patients suffering intestinal failure (IF) is not well established. Due to persistent portal inflammation, about 20\% of these patients will progress to end-stage intestinal failure associated liver disease (IFALD) leading to liver transplant or death. Purpose of review Premature babies as well as infants with short bowel syndrome (SBS) and repeated sepsis (catheter or small intestinal bacterial overgrowth related) are at risk of developing CLD. Clinical data in SBS infants focused on intravenous lipid emulsion (ILE) as an important factor of CLD. Recent findings Compared to the last generation of composite ILE containing fish oil (FO), soybean oil (SO) based ILE, have marked differences in term of oil source, omega-3 fatty acids (FAs) composition, vitamin E (atocopherols) and plant sterols contents, that may explain CLD and CLD reversal. Randomized controlled trials and meta-analysis allow the following recommendations. Summary In pediatric patients with developing or established CLD or IFALD, potential causes should be explored and pure SO ILE should be avoided. A reduction of the ILE dosage and/or the use of the new composite FO based ILE, may be recommended along with the treatment and management of other risk factors. The 10\% pure FO ILE should not be used as a sole provision of IV lipids in paediatric patients on total PN but can only serve as a short-term rescue treatment. © Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved.},
journal = {Current Opinion in Organ Transplantation},
author = {{Goulet O.} and {Lambe C.}},
year = {2017},
keywords = {*cholestasis, *emulsion, *fish oil, *inflammation, *intestinal failure, *lipid emulsion, *omega 3 fatty acid, *parenteral nutrition, *phytosterol, *soybean oil, Child, alpha tocopherol, drug therapy, human, infant, meta analysis, risk factor, short bowel syndrome, treatment failure}
}
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Purpose of review Premature babies as well as infants with short bowel syndrome (SBS) and repeated sepsis (catheter or small intestinal bacterial overgrowth related) are at risk of developing CLD. Clinical data in SBS infants focused on intravenous lipid emulsion (ILE) as an important factor of CLD. Recent findings Compared to the last generation of composite ILE containing fish oil (FO), soybean oil (SO) based ILE, have marked differences in term of oil source, omega-3 fatty acids (FAs) composition, vitamin E (atocopherols) and plant sterols contents, that may explain CLD and CLD reversal. Randomized controlled trials and meta-analysis allow the following recommendations. Summary In pediatric patients with developing or established CLD or IFALD, potential causes should be explored and pure SO ILE should be avoided. A reduction of the ILE dosage and/or the use of the new composite FO based ILE, may be recommended along with the treatment and management of other risk factors. The 10% pure FO ILE should not be used as a sole provision of IV lipids in paediatric patients on total PN but can only serve as a short-term rescue treatment. © Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved.","journal":"Current Opinion in Organ Transplantation","author":[{"firstnames":[],"propositions":[],"lastnames":["Goulet O."],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Lambe C."],"suffixes":[]}],"year":"2017","keywords":"*cholestasis, *emulsion, *fish oil, *inflammation, *intestinal failure, *lipid emulsion, *omega 3 fatty acid, *parenteral nutrition, *phytosterol, *soybean oil, Child, alpha tocopherol, drug therapy, human, infant, meta analysis, risk factor, short bowel syndrome, treatment failure","bibtex":"@misc{goulet_o._intravenous_2017,\n\ttitle = {Intravenous lipid emulsions in pediatric patients with intestinal failure},\n\turl = {http://journals.lww.com/co-transplantation/pages/default.aspx},\n\tabstract = {The incidence of cholestatic liver disease (CLD) in pediatric patients suffering intestinal failure (IF) is not well established. Due to persistent portal inflammation, about 20\\% of these patients will progress to end-stage intestinal failure associated liver disease (IFALD) leading to liver transplant or death. Purpose of review Premature babies as well as infants with short bowel syndrome (SBS) and repeated sepsis (catheter or small intestinal bacterial overgrowth related) are at risk of developing CLD. Clinical data in SBS infants focused on intravenous lipid emulsion (ILE) as an important factor of CLD. Recent findings Compared to the last generation of composite ILE containing fish oil (FO), soybean oil (SO) based ILE, have marked differences in term of oil source, omega-3 fatty acids (FAs) composition, vitamin E (atocopherols) and plant sterols contents, that may explain CLD and CLD reversal. Randomized controlled trials and meta-analysis allow the following recommendations. Summary In pediatric patients with developing or established CLD or IFALD, potential causes should be explored and pure SO ILE should be avoided. A reduction of the ILE dosage and/or the use of the new composite FO based ILE, may be recommended along with the treatment and management of other risk factors. The 10\\% pure FO ILE should not be used as a sole provision of IV lipids in paediatric patients on total PN but can only serve as a short-term rescue treatment. © Copyright 2017 Wolters Kluwer Health, Inc. 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