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October 1987

Nutritional Assessment of Children With Short-Bowel Syndrome Receiving Home Parenteral Nutrition

Author Affiliations

From the International Institute for Infant Nutrition and Gastrointestinal Disease (Drs Lin, Rossi, Heitlinger, and Lebenthal) and Department of Radiology (Dr Riddlesberger), Children's Hospital of Buffalo; Department of Pediatrics, State University of New York at Buffalo (Drs Lin, Rossi, Heitlinger, and Lebenthal); and Lady Davis Carmel Hospital, Haifa, Israel (Dr Lerner). Dr Lin is now with the Wayne State University School of Medicine, Detroit.

Am J Dis Child. 1987;141(10):1093-1098. doi:10.1001/archpedi.141.10.1093

• Serial nutritional assessments using arm anthropometry, computed tomography of the thigh, and serum biochemical indexes during an eight-month period were performed on nine children with short-bowel syndrome receiving home parenteral nutrition. The mean patient age at the beginning of the study was 3.0 years. In anthropometric measurements, the mean body weight of our test population did not deviate from that of the normal population. Most patients were below the normal median for height. The mean midarm muscle area was 114% of the normal median, and the mean midarm fat area was 98% of the normal median. The mean weight and height velocities were 148% and 122% of the standard, respectively. Retinol-binding protein values, albumin levels, and total lymphocyte counts of the patients were low, while levels of aspartate aminotransferase and alanine aminotransferase were slightly elevated. Midarm muscle and fat compartment sizes were highly correlated with thigh muscle and fat compartment sizes, as demonstrated by computed tomography. Our results demonstrate that children with short-bowel syndrome receiving home parenteral nutrition can maintain normal growth characteristics and extremity compartment sizes.