Journal
PEDIATRICS
Volume 118, Issue 1, Pages E197-E201Publisher
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2005-2662
Keywords
bilirubin; nutrition-infant; nutritional supplements; hepatic failure
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Here we report the reversal of cholestasis in 2 infants with intestinal failure and parenteral nutrition-associated liver disease. Treatment involved the substitution of a conventional intravenous fat emulsion with one containing primarily omega-3 fatty acids. Biochemical tests of liver function improved significantly. One child was removed from the liver transplantation list because of improved hepatic function, and the second child had complete resolution of cholestasis while solely on parenteral nutrition. This suggests that fat emulsions made from fish oils may be an effective means of treating and preventing this often-fatal condition. A randomized, controlled trial is necessary to study the efficacy of this new approach to parenteral nutrition-associated liver disease.
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