Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector76610.17816/ps766LecturesЛекцииReview ArticleSemi-elemental mixtures in the practice of a pediatric surgeonПолуэлементные смеси в практике детского хирургаhttps://orcid.org/0000-0002-8018-33667319-9906ErpulevaJulia V.ЕрпулеваЮлия Владимировна
Russian Federation

MD, Dr. Sci. (Medicine), Professor

доктор медицинских наук, профессор

erpulevaYuV@rmapo.ruRussian Medical Academy of Continuous Professional EducationРоссийская медицинская академия непрерывного профессионального образования07082024090920242843723762011202314072024Copyright ©; 2024, Erpuleva J.V.Copyright ©; 2024, Ерпулева Ю.В.2024Erpuleva J.V.Ерпулева Ю.В.https://jps-nmp.ru/jour/article/view/766

Since the first days of life nutrition is a necessary component of child's harmonious development. A particularly acute problem of child’s feeding is faced by physicians, if the child underwent any gastrointestinal surgery. Numerous studies have shown that malnutrition affects 50% of hospitalized children and 25–70% of seriously ill children. Natural nutrition is a real challenge for children in critical conditions. Currently, enteral nutrition is considered to be a preferred modality in pediatric patients with surgical pathology. A significant development of enteric formula industry over the past few years has put this type of nutrition at the forefront in helping operated children. Specialized mixtures for enteral nutrition which contain split protein or amino acid fragments gain an advantage over whole-protein mixtures. The lecture highlights main approaches to the prescription of enteral nutrition for children at the early postoperative and post-traumatic period.

Питание с первых дней жизни является необходимым компонентом гармоничного развития ребёнка. Особенно остро с проблемой кормления ребёнка сталкиваются лечащие врачи при операциях на желудочно-кишечном тракте. Многочисленные исследования показали, что от недоедания страдают 50% госпитализированных детей и 25–70% тяжелобольных детей. Существуют сложности проведения питания естественным путем у детей в критических состояниях. В наши дни энтеральное питание рассматривается предпочтительным методом лечения детей с хирургической патологией. Значительное развитие индустрии энтеральных смесей в течение последних нескольких лет поставило этот вид питания во главу помощи оперированным детям. Специализированные смеси для энтерального питания, в составе которых содержится расщеплённый белок, или фрагменты аминокислот, получили преимущество перед цельнобелковыми смесями. В лекции освещены основные подходы к назначению энтерального питания детям в раннем послеоперационном и посттравматическом периоде.

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