Visolie bij langdurige parenterale voeding bij kinderen. omega-3-vetzuren hebben gunstig effect op lever

Translated title of the contribution: Fish oil in prolonged parenteral nutrition in children: omega-3-fatty acids have a beneficial effect on the liver

Robbert A.M. Strijbosch*, Thelma L. van den Hoonaard, Joanne F. Olieman, Johanna C. Escher, Ian P. Alwayn, Hanneke Meijers-IJsselstijn

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)

Abstract

Neonates with intestinal failure are dependent on total parenteral nutrition (TPN) and therefore at risk for developing parenteral nutrition associated liver disease (PNALD). In this clinical lesson we report the treatment of PNALD in 3 infants with short bowel syndrome. Conventional omega-6 fat emulsion was substituted by omega-3 fish oil as the sole source of fat in TPN. The described patients were diagnosed as having multiple intestinal atresias, necrotizing enterocolitis and midgut volvulus, respectively, and all patients suffered from short bowel syndrome and were TPN-dependent. When persistent or progressive cholestasis occurred, omega-6 fat emulsion was replaced by omega-3 fish oil. In all 3 cases complete reversal of cholestasis was seen within months after the fish oil-fat emulsion switch. No negative side-effects were reported. These first experiences with the use of fish oil in children in the Netherlands confirm earlier suggested beneficial effects of omega-3 fatty acids in the treatment of PNALD in children with short bowel syndrome.

Translated title of the contributionFish oil in prolonged parenteral nutrition in children: omega-3-fatty acids have a beneficial effect on the liver
Original languageDutch
Article numberA2003
JournalNederlands Tijdschrift voor Geneeskunde
Volume154
Issue number39
Publication statusPublished - 13 Sept 2009

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