TPN – intestinal failure — RACP Paediatrics MCQ

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ModerateGITPN – intestinal failureRACP Paediatrics

A premature infant at 3 weeks of age with short bowel syndrome (following extensive bowel resection for NEC) cannot tolerate any enteral feeds. What is the most appropriate nutritional support?

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Correct answer: E — Total parenteral nutrition

Total parenteral nutrition (TPN) via a central venous catheter is required for intestinal failure when enteral feeding is not possible or insufficient. TPN provides complete nutrition (glucose, amino acids, lipids, electrolytes, vitamins, trace elements). Complications include catheter-related bloodstream infections, parenteral nutrition-associated liver disease (PNALD), and metabolic derangements.

Reference: RCH Melbourne – 2023 – Short Bowel Syndrome CPG; RACP Paediatric Curriculum – GI/Neonatology