TY - CHAP M1 - Book, Section TI - Technologic Devices in the Child with Medical Complexity A1 - Friedman, Jeremy A1 - Weinstein, Michael A2 - Zaoutis, Lisa B. A2 - Chiang, Vincent W. PY - 2017 T2 - Comprehensive Pediatric Hospital Medicine, 2e AB - If the gastrointestinal tract is functioning adequately, enteral nutrition is preferable to parenteral nutrition in the child with medical complexity. When compared with parenteral nutrition, enterostomy tubes are easier to handle and less expensive, and several randomized trials have shown that complications (e.g. sepsis, thrombosis, liver dysfunction) are less common. Enteral feeding prevents mucosal atrophy, maintains gut flora, and plays an important role in preserving the enteral immune system. Supplementation can be complete or partial depending on the child’s ability to feed by mouth. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1146124684 ER -