Nutritional Intervention of a Pediatric Patient with Congenital Bronchomalacia and Gastroesophageal Reflux Disease: a Case Report
- Author:
Kyeong Hun SHIN
1
;
Kyung Won KIM
;
Song Mi LEE
;
Soo Yeon KIM
;
Min Jung KIM
;
Myung Hyun SOHN
;
Hosun LEE
Author Information
- Publication Type:Case Report
- Keywords: GERD; Pneumonia; Enteral nutrition; Infant
- MeSH: Bronchomalacia; Enteral Nutrition; Gastroesophageal Reflux; Humans; Infant; Intensive Care Units; Lung Diseases; Male; Nutritional Status; Pneumonia
- From:Clinical Nutrition Research 2019;8(4):329-335
- CountryRepublic of Korea
- Language:English
- Abstract: Gastroesophageal reflux disease (GERD) is closely related to respiratory issues. We reported the case about the nutrition intervention given to a male infant with congenital bronchomalacia, GERD, and recurrent pneumonia. During the first and second pediatric intensive care unit (PICU) stays, his nutrition status and nutrient intake were good. However, during the 18 days of the third PICU admission, his nutrient intake decreased to 75%–80% of his estimated calorie requirement and his Z-score for weight-for-age dropped to −1.4. We conducted nutritional interventions to improve GERD symptoms and nutritional status include avoiding overfeeding by feeding small amounts frequently, using a pre-thickened formula mixed with a high-calorie formula, and feeding through transpyloric tube. As a result, his daily nutrient intakes gradually increased and his Z-score for weight-for-age was normal. In conclusion, it is important to implement individualized intensive nutritional management to ensure adequate nutrition and growth status in infants with lung disease and GERD.
