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Nutritional Support for Pediatric Patients with Biliary Atresia
담도 폐쇄증 환자의 영양 지원
J Clin Nutr 2017;9:56-61
Published online December 31, 2017
© 2017 Korean Society for Parenteral and Enteral Nutrition.

Joong Kee Youn1,*, Ji-Young Song2,*, Hyun-Young Kim1
윤중기1,*, 송지영2,*, 김현영1

1Department of Pediatric Surgery, Seoul National University College of Medicine, 2Department of Food Service and Nutrition Care, Seoul National University Hospital, Seoul, Korea
1서울대학교 의과대학 소아외과, 2서울대학교병원 급식영양과
Hyun-Young Kim
Department of Pediatric Surgery, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-2072-2478, Fax: +82-2-766-3975, E-mail: spkhy02@snu.ac.kr
*Joong Kee Youn and Ji-Young Song contributed equally to this work.
Received November 26, 2017; Revised December 8, 2017; Accepted December 10, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Biliary atresia (BA) is a major cause of extrahepatic biliary obstruction in children. Malnutrition is a significant clinical problem in children with BA. BA may induce the malabsorption of fat and fat-soluble vitamins, resulting in cholestasis and an impaired nutritional status. For the treatment of BA, it is most important to reconstruct the bile flow as early as possible by performinga Kasai portoenterostomy. After the Kasai operation, growth and nutrition are restored, but to follow normal growth and development, it is necessary to evaluate the nutritional status and support. Therefore, the purpose of nutritional support in children with BA is to normalize growth and development, prevent further liver damage and deterioration of the patient’s nutritional status, avoid vitamin and mineral deficiencies, and improve the quality of life of patients.
Keywords : Biliary atresia, Cholestasis, Malnutrition, Avitaminosis

 

December 2017, 9 (2)