Which dietary modifications are used in the treatment of pediatric omphalocele and gastroschisis (abdominal wall defects)?

Updated: Nov 05, 2019
  • Author: James G Glasser, MD, MA, FACS; Chief Editor: Dharmendra J Nimavat, MD, FAAP  more...
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Answer

Infants with omphaloceles have normal intestine and do not require special formulas. The occasional intestinal atresia, perhaps associated with a patent omphalomesenteric duct, is not usually associated with short gut.

Those with gastroschisis, however, may have sustained injury to the intestine and thus may require elemental formulas or protein hydrolysates with lactose-free carbohydrates, or medium-chain triglycerides.

Babies with short-gut syndrome absorb medium-chain triglycerides more readily than long-chain triglycerides; paradoxically, the latter are more valuable with regard to gut adaptation.


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