Claudia Georgiadis Lewandowski , Liane Esteves Daudt , Ana Maria Keller Jochims , Alessandra Paz , Elza Daniel de Mello

Introduction: during hematopoietic stem cell transplantation (HSCT) some factors may impact on the patient’s nutritional status (NS). Conditioning regimen, as well as signs and symptoms of the gastrointestinal tract, can negatively infl uence on oral food intake. Patients may require the use of complementary nutritional therapies aiming at an adequate caloric intake with the objective of avoiding decreasing in NS. Objective: the study aims to describe the nutritional aspects relevant to the maintenance of NS during hospitalization of children and adolescents undergoing HSCT at a tertiary hospital. Method: a retrospective study with a review of medical records of patients undergoing HSCT, aged between 0 and 19 years of age (incomplete) between January 2009 and December 2014. Data were collected regarding food intake, nutritional therapies used, and clinical signs and symptoms in six times: hospitalization, D0 (day of cell infusion), D+7, D+14, D+21 and D+28. Results: sixty-three patients were evaluated, being 56% males, with a median age of ten years. At the time of hospitalization, 100% of patients had their energy needs met by mouth, decreasing from D0 (about 30%), with more prevalent use of parental nutritional and enteral nutrition from D+7. Loss of appetite, mucositis and nausea were the most frequent signs and symptoms. From D+21 it was possible to observe an increase in caloric intake by mouth. Conclusion: patients showed decreased food intake throughout hospitalization. However, it has been shown that the prescription of complementary nutritional therapies has reduced the impact of weight loss.

Hematopoietic stem cell transplantation. Nutritional therapy. Pediatrics.

---

---

---

1. Aspectos dietoterapéuticos en situaciones especiales del paciente oncológico. prebióticos y probióticos, ¿tienen cabida en la terapia nutricional del paciente oncológico?
2. Nutrición en enfermedad inflamatoria intestinal
3. Componentes de las mezclas de nutrición parenteral para pediatría
4. Efecto de la alimentación saludable previa a la intervención con dieta baja en FODMAP en pacientes pediátricos con síndrome de intestino irritable
5. Dislocación accidental de la sonda de alimentación enteral con el uso de un dispositivo de fijación de sonda de alimentación dedicado versus cinta adhesiva como método de aseguramiento: un ensayo clínico aleatorizado
6. La unión hace la fuerza: terapia nutricional y ejercicio físico, una relación imprescindible
7. Apuntes sobre el coste-efectividad de la terapia nutricional con suplementación oral en la recuperación integral del paciente con DRE

---