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Loma Linda University

Parenteral nutrition associated liver disease

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The Effectiveness Of Smoflipid On Liver Function In Pediatric Patients With Intestinal Failure Related Parenteral Nutrition Associated Liver Disease (Pnald), Chelsey Kitazawa, Kara Bates, Shannon Lew Jan 2018

The Effectiveness Of Smoflipid On Liver Function In Pediatric Patients With Intestinal Failure Related Parenteral Nutrition Associated Liver Disease (Pnald), Chelsey Kitazawa, Kara Bates, Shannon Lew

Loma Linda University Research Reports

Abstract

Background:Parenteral nutrition (PN) is a treatment that supplies one's nutrition and hydration needs intravenously. Intravenous soybean lipid emulsions have been associated with Parenteral Nutrition Associated Liver Disease (PNALD), due to its high phytosterol content and high n-6:n-3 ratio and its propensity to mitigate inflammatory eicosanoid pathways. Composed of soybean oil, medium chain fatty acids, olive oil, and fish oil, Smoflipid may ameliorate PNALD and mitigate anti-inflammatory eicosanoid pathways.

Objective: To examine the effectiveness of Smoflipid on improving liver function and bilirubin levels on home PN-dependent children with intestinal failure related PNALD.

Design: A prospective electronic medical record review …