Nutrition Management Through Nitrogen Balance Analysis in Patient With Short Bowel Syndrome

Aram Kim; Sunglee Sim; Jeeyeon Kim; Jeongkye Hwang; Junghyun Park; Jehoon Lee; Jeongeun Cheon

doi:10.7762/cnr.2022.11.2.146

Nutrition Management Through Nitrogen Balance Analysis in Patient With Short Bowel Syndrome

Clin Nutr Res. 2022 Apr 26;11(2):146-152. doi: 10.7762/cnr.2022.11.2.146. eCollection 2022 Apr.

Authors

Aram Kim¹, Sunglee Sim¹, Jeeyeon Kim¹, Jeongkye Hwang², Junghyun Park², Jehoon Lee³, Jeongeun Cheon⁴

Affiliations

¹ Department of Nutrition Services, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
² Department of Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
³ Department of Laboratory Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
⁴ Department of Pharmacy, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.

Abstract

Patients with short bowel syndrome (SBS) have a high risk of developing parenteral nutrition (PN)-associated complications. Therefore, diet or enteral nutrition and PN should be modified to limit such complications. N balance analysis is a method of calculating the amount of protein required to achieve N equilibrium in the body based on intake and excretion. It is important to reduce dependence on PN and achieve the recommended range of N balance 2-4 g with an appropriate diet. We report a recent experience with nutrition modification using N balance analysis and suggest it as a useful method to reduce dependence on PN in nutrition management of SBS patients and in continuing active intestinal rehabilitation.

Keywords: End-jejunostomy; Nitrogen balance; Nutrition care; Short bowel syndrome.

Publication types

Case Reports