关键词: 短肠综合征, 营养, 喂养策略, 适应, 肠外营养, 肠内营养

Abstract: Short bowel syndrome，as the leading cause of pediatric intestinal failure，is due to surgical resection， congenital defects or disease-related loss of absorption，and normal routine diet can not maintain the balance among protein-energy，body fluid，electrolyte and micronutrient. Nutritional management is required to promote intestinal adaptation to achieve gut autonomy while maintaining normal  growth and development. Nutritional strategies are heterogeneous and complicated，and must be tailored，and there are no evidence-based recommendations for the type and duration of parenteral nutrition， enteral nutrition or oral feeding. Parenteral nutrition is critical for the survival of infants and children with short bowel syndrome， and a prudent nutritional strategy is essential to reduciing the duration of parenteral nutrition and decreasubg the risk of parenteral nutrition-related complications. To facilitate intestinal adaptation， start minimal enteral feeding at the early stage and gradually increase the amount of enteral nutrition according to intestinal tolerance. Oral feeding and a varied and balanced diet are necessary. Breast milk and blended diet are good choices.

Key words: short bowel syndrome, nutrition, feeding strategies, adaptation, parenteral nutrition, enteral nutrition