The Use of Fish Oil Lipid Emulsion in the Treatment of Intestinal Failure Associated Liver Disease (IFALD) 英文参考文献.docVIP
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The Use of Fish Oil Lipid Emulsion in the Treatment of Intestinal Failure Associated Liver Disease (IFALD) 英文参考文献
Nutrients 2012, 4, 1828-1850; doi:10.3390/nu4121828
OPEN ACCESS
nutrients
ISSN 2072-6643
/journal/nutrients
Review
The Use of Fish Oil Lipid Emulsion in the Treatment of
Intestinal Failure Associated Liver Disease (IFALD)
Melissa I. Chang, Mark Puder and Kathleen M. Gura *
Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02215, USA;
E-Mails: melissa.chang@ (M.I.C.); mark.puder@ (M.P.)
* Author to whom correspondence should be addressed;
E-Mail: Kathleen.Gura@; Tel.: +1-617-355-2336; Fax: +1-617-730-0601.
Received: 30 October 2012; in revised form: 11 November 2012 / Accepted: 19 November 2012 /
Published: 27 November 2012
Abstract: Since 2004, fish oil based lipid emulsions have been used in the treatment of
intestinal failure associated liver disease, with a noticeable impact on decreasing the
incidence of morbidity and mortality of this often fatal condition. With this new therapy,
however, different approaches have emerged as well as concerns about potential risks with
using fish oil as a monotherapy. This review will discuss the experience to date with this
lipid emulsion along with the rational for its use, controversies and concerns.
Keywords: parenteral nutrition; pediatrics; lipid emulsions; intestinal failure-related liver
disease; fish oil
1. Introduction
Parenteral nutrition (PN) provides a life-saving intervention for patients unable to absorb enteral
nutrients secondary to intestinal failure due to inadequate bowel length or function [1]. However, over
the course of its use, the development of intestinal failure-associated liver disease (IFALD) has been
the source of significant morbidity and mortality. Up to 60% of infants undergoing prolonged courses
of PN are afflicted with this disease. IFALD can progress to varying degrees of hepatic steatosis,
hepatocellular injury, cholestasis, with ultimate liver failure and death [2]. The severity of liver disease
and presence of ch
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