NUTRITION SUPPORT: PDF OnlyHays Tiffani L. MS RD LN CNSD; Saavedra, Jose M. MD; Mattis, Lynn E. RN, MSN; Conner, Kim G. RPhTOPICS IN CLINICAL NUTRITION: October 1995 - p 35-41 Buy Abstract Low-fat diets frequently recommended for managing short bowel syndrome (SBS) may preclude enteral feeding advancement. We report using low-carbohydrate (CHO), high-fat diets with medium chain triglycerides (MCT) to transition SBS patients from parenteral to enteral nutrition. Thirteen SBS patients (7 months to 7 years old, 7% to 60% residual bowel length) initially received protein hydrolysate drip feedings. When severe CHO malabsorption precluded feeding advancement, caloric density was increased with MCT to provide 56.6 ± 7.3% of calories as fat and 32 ± 4.8% as CHO. Patients reached 50% of requirements enterally by 16 ± 14 months. Seven patients reached full requirements by 27 ± 20 months. In this population, high-fat diets successfully accelerated the transition to complete enteral nutrition. © 1995 Aspen Publishers, Inc.