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Approach To Nutrıtıonal Patıents Wıth Duodenal Straın: A Case Report
YAZI #6154 © Yazan Dyt.Furkan ŞAHİN | Yayın Ocak 2020
Login: Congenital anomalies of the gastrointestinal tract are important causes of morbidity in newborn and childhood. Infants born with congenital malformation of the stomach, Contains a mark marked thickening of the pylorus. Circular muscle fibers were hypertrophied. As a result of this thickening, the pyloric duct is severely narrowed and the stomach contents cannot pass into the duodenum and accumulate in the stomach. As a result, the stomach is noticeably widened and the baby vomits. This disorder is treated surgically. Genetic factors may play a role in this anomaly.


Materials and Methods: Data analysis method was used.


Results: A 6-month-old girl presented with vomiting after each feeding. In her medical history, she had been hospitalized for 3 weeks with hypoglycemia after birth, undergoing Rota virus at one and six months of age, underwent pnomonia at the age of two months, and was treated twice for route virus infection. The patient was feeding 5-6 times her breast milk daily, 150cc SMA1 formula 3 times a day. The patient was admitted to the ward with suspicion of 'ilues' and followed up. Endoscopy; when the stomach is not empty, expanded; gastric outflow was a congenital condition leading to duodenal partial obstruction. A total of 1-week total parenteral nutrition (TPN) was started to rest the postoperative gastrointestinal tract. On the 5th day catheter was infected, TPN was discontinued when receiving TPN therapy. A nasogastric nutrition plan was created. The weight of the patient was 7.1 kg and the total energy requirement was calculated as 103-105 kcal per kg and was found to be 731-745 kcal / day. The protein requirement of the patient was found to be 18-21 g / day calculated from 2.5-3 grams per kg. The patient had fed with 18-day feeding, 6 hours of rest, and a continued dose of 61 cc / h with peptijunior formula. The patient was tolerated for 3 days. After 1 week of NG feeding, oral intake was started and the patient was discharged with no symptoms.


Discussion and Conclusion: Nutritional therapy has been shown to be an effective treatment in post-op period. In addition to medical treatment, the efficiency of the treatment and follow-up therapy should be evaluated.
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