Assessment of intestinal and cardiorespiratory function in children with congenital heart disease on high-caloric formulas

J. Yahav, S. Avigad, M. Frand, A. Shem-Tov, Z. Barzilay, S. Linn, A. Jonas

Research output: Contribution to journalArticlepeer-review

Abstract

Fourteen infants with congenital heart disease were investigated for failure to thrive. Assessment of intestinal function revealed minor absorptive abnormalities (mild steatorrhea in three patients, bile salt loss in four patients), delayed gastric emptying, and abnormal triglyceride loading tests. Low caloric intake (88.3 ± 19.3 kcal/kg/day) seemed the main reason for failure to gain weight. Weight accession and cardiorespiratory rates were monitored daily during voluntary intake, a high-caloric diet by mouth, and naso-gastric tube feeding. Providing 169 ± 29 kcal/kg/day by tube resulted in weight gain with mild and transient elevation of respiratory rate at the end of the meal and increased heart rate 90 min after the meal. This regimen is a meta-bolically inexpensive and efficient method of supporting weight gain in children with congenital heart disease.

Original languageEnglish
Pages (from-to)778-785
Number of pages8
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume4
Issue number5
DOIs
StatePublished - Oct 1985
Externally publishedYes

Keywords

  • Cardiorespiratory function
  • Congenital heart disease
  • High-caloric diet
  • Intestinal function

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

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