Dinning A.: Short Bowel Syndrome

Today’s ESPGHAN podcast series guest, Mrs Alison Dinning, is an academic dietitian at the Children’s Hospital of Bristol in the west of England.  Her interests centre on the care of children with short-bowel syndrome (SBS), with particular pleasure taken in successful shifts from parenteral to enteral alimentation – hard work, but if the family can be brought on board, then with use of breast milk, attention to what portions of the bowel are lacking, the use of blended (higher-density than simple liquid) feeds, and oral contact with food these children can be moved forward into enteral autonomy.  This in hospital ; but for discharge to home to succeed, the parents must be convinced by demonstration that they can and will succeed, and this requires in some instances instruction in how to prepare food, what to present to the child, to minimise food aversion and to allow family members and children alike to feel that they are taking part in the social event of eating.  Important strategies to support babies with SBS on the neonatal unit, then, and important strategies to improve enteral intake in children on home parenteral nutrition with SBS.

Literature :

Zong W et al.  Blenderized enteral nutrition in pediatric short gut syndrome:  Tolerance and clinical outcomes.  Nutr Clin Pract 2022 Aug 37(4):913-920.  doi:  10.1002/ncp.10866.  Epub 2022 May 31.  PMID:  35638571.  PMCID:  PMC928327

Puoti MG, Köglmeier J.  Nutritional management of intestinal failure due to short bowel syndrome in children.  Nutrients 2022 Dec 23 15(1):62.  doi:  10.3390/nu15010062.  PMID:  36615720. PMCID:  PMC9823779.  

Dr. Dinning´s favourite song: Mull of Kintyre - Wings https://open.spotify.com/track/24RwOcKkC0hdiN1j3zjN1E?si=325b64a90d374745

ESPGHAN favourite Songs can be found on Spotify https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo