Case Report

The Influence of Neocate in Paediatric Short Bowel Syndrome on PN Weaning

Table 3

EN scheme used and validated in our department.

Step 1 .a
DayNight
Oral stimulation (ORS)++++
Enteral Nutrition: continuous (Neocate)—*—*—*—*—*
Parenteral Nutrition: Continuous

Step 1 .b
DayNight
Oral stimulation (ORS)++++
Enteral Nutrition: continuous—*—*—*—*—*
Parenteral Nutrition

Step 2
DayNight
Oral stimulation (ORS)++++
Enteral Nutrition: continuous Neocate 20%

Step 3 .a
DayNight
Oral Nutrition (Neocate)
Enteral Nutrition: daily boluses
      Nocturnal continuous

Step 3 .b
DayNight
Oral Nutrition (diverse)
Enteral Nutrition: daily boluses (Neocate)
      Nocturnal continuous

Step 4
DayNight
Oral Nutrition (diverse)
Enteral Nutrition: daily boluses (Neocate)
OR
DayNight
Oral Nutrition (diverse)
Enteral Nutrition: Nocturnal continuous

Step 5
DayNight
Oral Nutrition

Step 6
Diversification oral nutrition

*Progressive increase in concentration, 13%–15%–17%–20% until tolerance for total caloric requirements and growth are obtained.