Abstract:Parenteral nutrition (PN) is a life saving and support therapy for critical newborn infants. Parenteral nutrition-associated cholestasis (PNAC) is one of its common complications. This article focuses on the risk factors for PNAC in newborn infants in both non-nutrient and nutrient associated risk factors. The main risk factors include prematurity, small for gestational age, prolonged PN, diseases (especially sepsis and necrotizing enterocolitis), delayed or less proportional enteral nutrition, non cyclic PN, amino acids/lipids composition and dosage, energy supply and trace elements contents.
Moyer V, Freese DK, Whitington PF, et al. Guideline for the evaluation of cholestatic jaundice in infants: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition[J]. J Pediatr Gastroenterol Nutr, 2004, 39: 115-128.
Rangel SJ, Calkins CM, Cowles RA, et al. Parenteral nutritionassociated cholestasis: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee systematic review[J]. J Pediatr Surg, 2012, 47(1): 225-240.
[4]
Christensen RD, Henry E, Wiedmeier SE, et al. Identifying patients, on the first day of life, at high-risk of developing parenteral nutrition-associated liver disease[J]. J Perinatol, 2007, 27(5): 284-290.
[5]
Costa S, Maggio L, Sindico P, et al. Preterm small for gestational age infants are not at higher risk for parenteral nutrition-associated cholestasis[J]. J Pediatr, 2010, 156: 575-579.
[6]
Robinson DT, Ehrenkranz RA. Parenteral nutrition-associated cholestasis in small for gestational age infants[J]. J Pediatr, 2008, 152(1): 59-62.
Hsieh MH, Pai W, Tseng HI, et al. Parenteral nutrition-associated cholestasis in premature babies: risk factors and predictors[J]. Pediatr Neonatol, 2009, 50(5): 202-207.
[9]
Lee SM, Namgung R, Park MS, et al. Parenteral nutrition associated cholestasis is earlier, more prolonged and severe in small for gestational age compared with appropriate for gestational age very low birth weight infants[J]. Yonsei Med J, 2013, 54(4): 839-844.
[10]
Javid PJ, Malone FR, Dick AA, et al. A contemporary analysis of parenteral nutrition-associated liver disease in surgical infants[J]. J Pediatr Surg, 2011, 46(10): 1913-1917.
Steinbach M, Clark RH, Kelleher AS, et al. Demographic and nutritional factors associated with prolonged cholestatic jaundice in the premature infant[J]. J Perinatol, 2008, 28(2): 129-135.
[13]
Nghiem-Rao TH, Cassidy LD, Polzin EM, et al. Risks and benefits of prophylactic cyclic parenteral nutrition in surgical neonates[J]. Nutr Clin Pract, 2013, 28(6): 745-752.
[14]
Wright K, Ernst KD, Gaylord MS, et al. Increased incidence of parenteral nutrition-associated cholestasis with aminosyn PF compared to trophamine[J]. J Perinatol, 2003, 23(6): 444-450.
[15]
González-Contreras J, Villalobos Gámez JL, Gómez-Sánchez AI, et al. Cholestasis induced by total parenteral nutrition; effects of the addition of Taurine (Tauramin®) on hepatic function parameters; possible synergistic action of structured lipids (SMOFlipid®)[J]. Nutr Hosp, 2012, 27(6): 1900-1907.
[16]
Spencer AU, Yu S, Tracy TF, et al. Parenteral nutrition-associated cholestasis in neonates: multivariate analysis of the potential protective effect of taurine[J]. JPEN, 2005, 29(5): 337-343.
[17]
Saayman BD. The use of alternative lipid emulsions in paediatric and neonatal parenteral nutrition[J]. S Afr J Clin Nutr, 2011, 24(3): S32-S34.
[18]
Klein CJ, Havranek TG, Revenis ME, et al. Plasma fatty acids in premature infants with hyperbilirubinemia: before-and-after nutrition support with fish oil emulsion[J]. Nutr Clin Pract, 2013, 28(1): 87-94.
[19]
Goulet O, Antebi H, Wolf C, et al. A new intravenous fat emulsion containing soybean oil, medium-chain triglycerides, olive oil, and fish oil: a single-center, double-blind randomized study on efficacy and safety in pediatric patients receiving home parenteral nutrition[J]. J Parenter Enteral Nutr, 2010, 34(5): 485-495.
Sanchez SE, Braun LP, Mercer LD, et al. The effect of lipid restriction on the prevention of parenteral nutrition-associated cholestasis in surgical infants[J]. J Pediatr Surg, 2013, 48(3): 573-578.
[22]
Jolin-Dahel K, Ferretti E, Montiveros C, et al. Parenteral nutrition-induced cholestasis in neonates: where does the problem lie? [J]. Gastroenterol Res Prac, 2013, 2013: 163632.
[23]
Crill CM, Helms RA. The use of carnitine in pediatric nutrition[J]. Nutr Clin Pract, 2007, 22(2): 204-213.