Fish oil-based lipid emulsion in the treatment of parenteral nutrition-associated cholestasis

Simonetta Costa, Rossella Iannotta, Luca Maggio, Giovanni Barone, Francesca Serrao, Giovanni Vento

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

8 Citazioni (Scopus)


Background: Parenteral nutrition-associated cholestasis (PNAC) is a serious complication in preterm infants receiving prolonged parenteral nutrition. Soybean lipid emulsion (SLE) seems to have a role in its pathogenesis, whereas fish oil-based emulsion (FOLE) seems to be able to reverse cholestasis. This study aimed to evaluate the effectiveness of a FOLE in reversing PNAC. Methods: The effectiveness in reversing PNAC was evaluated in prospective cohort study of very preterm infants when compared to historical controls: twenty-six infants (27.0 ± 2.6 weeks GA; 724 ± 204 g) who developed cholestasis while receiving SLE were shifted to receive FOLE and were compared with 30 infants (27.3 ± 2.5 weeks GA 838 ± 277 g) who continued to receive SLE at diagnosis of cholestasis. Results: Time to reversal of cholestasis was the same in the two study groups (45 ± 21 vs 43 ± 32 days). Conclusions: FOLE does not seem to be superior to SLE in reversing cholestasis. Considering that definitive data on the actual efficacy of FOLE to reverse PNAC are lacking, larger randomized trials are required, mainly to asses if FOLE may have a role in PNAC prevention rather than PNAC treatment.
Lingua originaleEnglish
pagine (da-a)101-N/A/
Numero di pagine4
Stato di pubblicazionePubblicato - 2018


  • Cholestasis
  • Cohort Studies
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Emulsions
  • Female
  • Fish Oils
  • Fish oil-based lipid emulsion
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Infant, Very Low Birth Weight
  • Intensive Care Units, Neonatal
  • Male
  • Parenteral Nutrition
  • Parenteral nutrition-associated cholestasis
  • Pediatrics, Perinatology and Child Health
  • Preterm infants
  • Prospective Studies
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Treatment Outcome


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