Soportenutricional en la enfermedad renal crónica

Abstract

Children with chronic kidney disease are vulnerable to malnutrition, needing specific nutritional support to prevent it, especially when the disease is in a phase greater than 2 the loss of the function of such an active organ metabolically causes alteration in the intermediary metabolism of the nutrients, as well as in the nutrient bioavailability and losses. Several factors are involved in the progressive loss of renal function, and nutritional factors are very important. Growth retardation is the most important affectation during childhood; the alteration depends in the degree of affectation and the patient's age. The risk is greater when the disease is congenital because during the first year the speed of the growth is very high and the nutritional requirements are very high and of very difficult coverage. The changes in motor skills of the gastrointestinal tract cause anorexia and vomits that cause difficulty in the consumption, due to this reason they frequently need nutritional supplementation and prolonged enteral nutrition through gastrostomy, which is generally percutaneous endoscopic. ©2011 Ediciones Mayo, S.A. All rights reserved.