|
TABLE OF CONTENTS
|
| 1 | Pediatric Intestinal Failure: Nutritional Management of a Complex Disorder
Rebecca J. Wilhelm, MS, RD, LD, Adam Mezoff, MD, CPE, AGAF
In the past few decades the diagnosis of intestinal failure (IF) due to short
bowel syndrome (SBS) has come to be appreciated as a long-term, treatable
condition especially in the pediatric population. Morbidity and mortality have
been reduced due to major advances in parenteral and enteral nutrition formulations,
surgical techniques, and transplantation, and quality of life has improved
through development of care and treatment strategies. |
| 7 | Eosinophilic Esophagitis
Tara C. McCarthy, MS, RD, LDN
Eosinophilic esophagitis (EE) is a disease
found in both children and adults
that is increasingly documented. EE is
diagnosed by endoscopic testing revealing
> 15 eosinophils per high power field
isolated only in the esophagus (1). EE is
often associated with gastroesophageal
reflux disease (GERD) because it has
many of the same symptoms, which
include dysphagia, failure to thrive, food
impactions, nausea, vomiting, diarrhea,
bloating, abdominal or chest pain, difficulty
sleeping, and food refusal or poor
appetite. GERD responds to acid suppression
treatment, while EE does not.
EE, however, is responsive to the
removal of dietary food allergens (2). |
| 11 | Parenteral Nutrition-Associated Cholestasis
Megan Brenn, RD, LDN, CNSC, Sharon Collier, RD, LDN, MEd
Parenteral nutrition (PN) in the pediatric
population is a life-saving mode of
support in a number of clinical conditions,
most notably after surgical repair
for congenital anomalies. Anomalies
such as gastroschisis and intestinal atresias
require a substantial period of time
without enteral feedings after surgical
correction. |
| 17 | What is Quality Dietetics? Do RDs Practice It? How Do Dietetics Practitioners Know the Activities They Are Authorized to Perform?
Sharon M. McCauley, MS, MBA, RD, LDN, FADA, Cecily Byrne, MS, RD, LDN
Quality is about providing safe, effective,
patient/resident/client-centered,
timely, efficient, and equitable dietetics
care. These six dimensions of quality are
outlined in a report by the committee
on the Quality of Health Care in
America (1). Overall, the report makes
an urgent call for fundamental change
to close the quality gap, recommends a
redesign of the American health care
system; and provides overarching principles
for specific direction for policymakers,
health care leaders, clinicians,
regulators, purchasers, and others. |
| 19 | From the Editor
Cheryl Lair, RD/LD, CSP
As the new decade is upon us, so is the influx of new
knowledge and strategies. Whether you've been in the
field of nutrition for decades, years, or months, I think
you will find this issue informative and helpful. |
Copyright 2010 Pediatric Nutrition Practice Group, ADA.
The BUILDING BLOCK FOR LIFE is published quarterly by
the Pediatric Nutrition Practice Group (PNPG), a dietetic practice
group of the American Dietetic Association (ADA), 120
South Riverside Plaza, Suite 2000, Chicago, IL 60606-6995.
The Building Block for Life publication features information on materials, positions, and products for the use of its readers. These statements do not imply endorsements by the Pediatric Nutrition Practice Group or the American Dietetic Association. All material appearing in the Building Block for Life is covered by copyright and may be photocopied for noncommercial scientific or educational purposes only, provided the source is acknowledged. Written consent from the editor is required for any other purpose.
For address changes: Please submit name and address
changes directly to the American Dietetic Association using
the address change card in the Journal of the American
Dietetic Association. Or, update your information online at
www.eatright.org.
SUBSCRIPTIONS
Building Block for Life is provided to PNPG members as a
member benefit. Subscriptions are not available to those
not eligible for ADA membership.
DISCLAIMER
Publication of an advertisement in the Building Block for Life should not be construed as endorsement of the
advertisement, of the advertiser or the product by the
American Dietetic Association and/or the Pediatric Nutrition
Practice Group
|
FOR THIS ISSUE:EDITORCheryl Lair, RD/LD, CSP
Parkland Health and Hospital System
5201 Harry Hines Boulevard
Dallas, Texas 75235 Co-EDITORLori J. Bechard, MEd, RD, LDN
Clinical Nutrition Specialist III
Children's Hospital Boston
300 Longwood Avenue
Boston, MA 02115
LOOKING AHEADVolume 33, No. 2 will feature: Current issues in metabolic disorders: adult PKU, ketogenic diet, and an unusual case of an emerging adult with a metabolic disorder.
|