|
|||||
|
|
Use of a Loading Dose of Vitamin D for Treatment of Vitamin D Deficiency in Patients With Intestinal Failure |
|
| Authors: | Neil Grenade BSc Christina Kosar MN RN Karen Steinberg MN RN Yaron Avitzur MD Paul W. Wales MD Glenda Courtney‐Martin PhD RD |
| Affiliation: | 1. Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada;2. Group for Improvement of Intestinal Function and Treatment, The Hospital for Sick Children, Toronto, Ontario, Canada;3. Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada;4. Department of Surgery, University of Toronto, Toronto, Ontario, Canada;5. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada |
| Abstract: | Vitamin D deficiency is common in patients with intestinal failure and short bowel syndrome who have been weaned of parenteral nutrition. Dietary supplementation with vitamin D is necessary to correct this deficiency. In certain cases, routine supplementation strategy may be ineffective. We report 3 cases of vitamin D deficiency in patients with intestinal failure who showed improvement in serum 25‐hydroxyvitamin D levels after supplementation with a loading dose of 20,000–40,000 IU vitamin D provided weekly. |
| Keywords: | vitamin D intestinal failure pediatrics micronutrient malabsorption |