Paul Well

78 statements · 3 topics

Featured statements

So, a term baby uh will have 160 centimeters of small bowel, and by the time you're 5 years old, it, it almost triples, about 425 to 450 centimeters.
quote · Cholestasis
But you can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity.
quote · Cholestasis
Long chain fat is a much stronger stimulus for GLP-2 release, and that's what we want when we're trying to drive adaptation.
quote · Intestinal Failure
But I would argue that uh long chain fat is the preferred module rather than MCT.
quote · Intestinal Failure
If the child fails a gastric approach (both bolus and continuous), the strategy is to feed beyond the stomach and decompress the stomach through an NG tube.
clinical · Intestinal Rehab
Long-chain fat is a much stronger stimulus for GLP-2 release compared to MCT, which is important when trying to drive intestinal adaptation.
clinical · Intestinal Rehab

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Paul's statements about Cholestasis 26 statements

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Intestinal Rehabilitation Webinar 2023 - Top 5 Key Takeaways

Statement Young infants, babies, and young children have tremendous gut growth potential, with the gut growing for the first several years of life. Open
Quotation One key thing to, to acknowledge is that young infants, babies, infants, and young children have tremendous gut growth potential. Open
Quotation The gut grows for the first several years of life. Open
Statement Residual bowel should be discussed as a percentage of what is normal for a child of that age, not in absolute centimeters. Open
Statement A term baby will have 160 centimeters of small bowel, and by age 5 years it almost triples to about 425 to 450 centimeters. Open
Quotation So, a term baby uh will have 160 centimeters of small bowel, and by the time you're 5 years old, it, it almost triples, about 425 to 450 centimeters. Open
Quotation But you can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Statement You can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Statement The overarching principle is to deliver adequate nutrition to have normal growth within normal parameters, ideally enterally. Open
Quotation The overarching principle is we want to, we want to deliver adequate nutrition to, to have normal growth. Open
Quotation The other guiding principle is, as much as possible, we'd like to try to establish normal feeding behavior. Open
Statement As much as possible, the goal is to establish normal feeding behavior, recognizing that enteral nutrition is more than just nutrition. Open
Quotation Realizing that enteral nutrition is more than just nutrition. Open
Statement If a patient needs tube support from the beginning, bolus feeding should be tried rather than defaulting to continuous feeding. Open
Statement If the child fails a gastric approach (both bolus and continuous), the strategy is to feed beyond the stomach and decompress the stomach through an NG tube. Open
Statement Breast milk is the formula of choice, not only for its nutritional benefits but for all the other beneficial components within breast milk. Open
Quotation Breast milk, not only for its nutritional uh benefits, obviously, but, uh, all the other goodies that are within the breast milk. Open
Quotation So let's talk about the protein module first. Open
Quotation There's this feeling out there that especially in the setting of short bowel syndrome, that an MCT fat is better tolerated, better absorbed. Open
Statement Long-chain fat is the preferred fat module rather than MCT fat, especially in the setting of short bowel syndrome. Open
Quotation But I would argue that uh long chain fat is the preferred module rather than MCT. Open
Quotation Long chain fat is a much stronger stimulus for GLP-2 release, and that's what we want when we're trying to drive adaptation. Open
Statement Long-chain fat is a much stronger stimulus for GLP-2 release compared to MCT, which is important when trying to drive intestinal adaptation. Open
Statement Not every child needs to be on SMOF lipids. Open
Statement For preterm babies, SMOF is not the ideal lipid emulsion but is the best currently available. Open
Statement SMOF lipids do not have enough arachidonic acid, which is important for brain development. Open
Paul's statements about Intestinal Failure 26 statements

Open the Intestinal Failure collection →

Intestinal Rehabilitation Webinar 2023 - Top 5 Key Takeaways

Quotation One key thing to, to acknowledge is that young infants, babies, infants, and young children have tremendous gut growth potential. Open
Statement Young infants, babies, and young children have tremendous gut growth potential, with the gut growing for the first several years of life. Open
Quotation The gut grows for the first several years of life. Open
Statement Residual bowel should be discussed as a percentage of what is normal for a child of that age, not in absolute centimeters. Open
Statement A term baby will have 160 centimeters of small bowel, and by age 5 years it almost triples to about 425 to 450 centimeters. Open
Quotation So, a term baby uh will have 160 centimeters of small bowel, and by the time you're 5 years old, it, it almost triples, about 425 to 450 centimeters. Open
Quotation But you can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Statement You can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Quotation The overarching principle is we want to, we want to deliver adequate nutrition to, to have normal growth. Open
Statement The overarching principle is to deliver adequate nutrition to have normal growth within normal parameters, ideally enterally. Open
Quotation The other guiding principle is, as much as possible, we'd like to try to establish normal feeding behavior. Open
Statement As much as possible, the goal is to establish normal feeding behavior, recognizing that enteral nutrition is more than just nutrition. Open
Quotation Realizing that enteral nutrition is more than just nutrition. Open
Statement If a patient needs tube support from the beginning, bolus feeding should be tried rather than defaulting to continuous feeding. Open
Statement If the child fails a gastric approach (both bolus and continuous), the strategy is to feed beyond the stomach and decompress the stomach through an NG tube. Open
Statement Breast milk is the formula of choice, not only for its nutritional benefits but for all the other beneficial components within breast milk. Open
Quotation Breast milk, not only for its nutritional uh benefits, obviously, but, uh, all the other goodies that are within the breast milk. Open
Quotation So let's talk about the protein module first. Open
Quotation There's this feeling out there that especially in the setting of short bowel syndrome, that an MCT fat is better tolerated, better absorbed. Open
Statement Long-chain fat is the preferred fat module rather than MCT fat, especially in the setting of short bowel syndrome. Open
Quotation But I would argue that uh long chain fat is the preferred module rather than MCT. Open
Statement Long-chain fat is a much stronger stimulus for GLP-2 release compared to MCT, which is important when trying to drive intestinal adaptation. Open
Quotation Long chain fat is a much stronger stimulus for GLP-2 release, and that's what we want when we're trying to drive adaptation. Open
Statement Not every child needs to be on SMOF lipids. Open
Statement For preterm babies, SMOF is not the ideal lipid emulsion but is the best currently available. Open
Statement SMOF lipids do not have enough arachidonic acid, which is important for brain development. Open
Paul's statements about Intestinal Rehab 26 statements

Open the Intestinal Rehab collection →

Intestinal Rehabilitation Webinar 2023 - Top 5 Key Takeaways

Quotation One key thing to, to acknowledge is that young infants, babies, infants, and young children have tremendous gut growth potential. Open
Statement Young infants, babies, and young children have tremendous gut growth potential, with the gut growing for the first several years of life. Open
Quotation The gut grows for the first several years of life. Open
Statement Residual bowel should be discussed as a percentage of what is normal for a child of that age, not in absolute centimeters. Open
Statement A term baby will have 160 centimeters of small bowel, and by age 5 years it almost triples to about 425 to 450 centimeters. Open
Quotation So, a term baby uh will have 160 centimeters of small bowel, and by the time you're 5 years old, it, it almost triples, about 425 to 450 centimeters. Open
Quotation But you can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Statement You can have as low as 10% expected gut length and still achieve enteral autonomy if you have the majority of your colon in continuity. Open
Quotation The overarching principle is we want to, we want to deliver adequate nutrition to, to have normal growth. Open
Statement The overarching principle is to deliver adequate nutrition to have normal growth within normal parameters, ideally enterally. Open
Statement As much as possible, the goal is to establish normal feeding behavior, recognizing that enteral nutrition is more than just nutrition. Open
Quotation The other guiding principle is, as much as possible, we'd like to try to establish normal feeding behavior. Open
Quotation Realizing that enteral nutrition is more than just nutrition. Open
Statement If a patient needs tube support from the beginning, bolus feeding should be tried rather than defaulting to continuous feeding. Open
Statement If the child fails a gastric approach (both bolus and continuous), the strategy is to feed beyond the stomach and decompress the stomach through an NG tube. Open
Statement Breast milk is the formula of choice, not only for its nutritional benefits but for all the other beneficial components within breast milk. Open
Quotation Breast milk, not only for its nutritional uh benefits, obviously, but, uh, all the other goodies that are within the breast milk. Open
Quotation So let's talk about the protein module first. Open
Statement Long-chain fat is the preferred fat module rather than MCT fat, especially in the setting of short bowel syndrome. Open
Quotation There's this feeling out there that especially in the setting of short bowel syndrome, that an MCT fat is better tolerated, better absorbed. Open
Quotation But I would argue that uh long chain fat is the preferred module rather than MCT. Open
Statement Long-chain fat is a much stronger stimulus for GLP-2 release compared to MCT, which is important when trying to drive intestinal adaptation. Open
Quotation Long chain fat is a much stronger stimulus for GLP-2 release, and that's what we want when we're trying to drive adaptation. Open
Statement Not every child needs to be on SMOF lipids. Open
Statement For preterm babies, SMOF is not the ideal lipid emulsion but is the best currently available. Open
Statement SMOF lipids do not have enough arachidonic acid, which is important for brain development. Open