Long-Term Outcome of Home Parenteral Nutrition in Patients with Short Bowel Syndrome: A Case Report
Archives of Critical Care Medicine,
Vol. 2 No. 2 (2016),
31 October 2023
Abstract
Introduction: Short bowel syndrome can cause severe malnutrition. Parenteral nutrition and the prescription of water and elec[1]trolyte can increase the survival of these patients. This article introduces a patient, who received parenteral nutrition for nine months after gastric cancer surgery and chemotherapy because of the initiation of cutaneous fistula (short bowel syndrome).
Case Presentation: The patient was a 33-year-old male, who had undergone total gastrectomy due to gastric adenocarcinoma. After chemotherapy, because of the peritonitis, laparotomy was performed; the abdomen was full of fecal and bile liquid, and the perfora[1]tion area was not found due to the high adhesion in the abdomen. Considering the continued secretion from the right drain area of the abdomen, with the possibility of spontaneous closure, TPN was performed for nine months. Fistula repair surgery was done and postoperative total parenteral nutrition was terminated in nine days and oral feeding was started and the patient was discharged in good condition.
Conclusions: Total home parenteral nutrition (HPN) in patients with short bowel syndrome increases the survival of patients with[1]out dangerous side effects. Home parenteral nutrition can be useful to prepare the patient for surgery
- Gastric Cancer
- Home Parental Nutrition
- Short Bowl Syndrome
How to Cite
References
Pironi L. Definitions of intestinal failure and the short bowel
syndrome. Best Pract Res Clin Gastroenterol. 2016;30(2):173–85. doi:
1016/j.bpg.2016.02.011. [PubMed: 27086884].
DeLegge MH, Ireton-Jones C. Home Care. In: Guenter P, editor. The ASPEN nutrition support core curriculum: a case-based approach-the adult
patient.1. USA: American Society for Parenteral and Enteral Nutrition;
Theresa AF. Optimizing Care in Home Parenteral Nutrition The RD’s
Role. Today’s Diet. 2011;13(7):38.
Dibb M, Teubner A, Theis V, Shaffer J, Lal S. Review article: the management of long-term parenteral nutrition. Aliment Pharmacol Ther.
;37(6):587–603. doi: 10.1111/apt.12209. [PubMed: 23331163].
Plogsted S, Adams SC, Allen K, Breen HB, Cober MP, Greaves J, et al. Parenteral Nutrition Electrolyte and Mineral Product Shortage Considerations. Nutr Clin Pract. 2016;31(1):132–4. doi: 10.1177/0884533615621550.
[PubMed: 26703958].
Dibb MJ, Abraham A, Chadwick PR, Shaffer JL, Teubner A, Carlson
GL, et al. Central Venous Catheter Salvage in Home Parenteral Nutrition Catheter-Related Bloodstream Infections: Long-Term Safety
and Efficacy Data. JPEN J Parenter Enteral Nutr. 2016;40(5):699–704. doi:
1177/0148607114549999. [PubMed: 25224728].
Wanten GJ. Parenteral approaches in malabsorption: Home parenteral nutrition. Best Pract Res Clin Gastroenterol. 2016;30(2):309–18.
doi: 10.1016/j.bpg.2016.03.010. [PubMed: 27086893].
Lago Rivero N, Mucientes Molina A, Paradela Carreiro A, Vazquez
Gomez C, Arias Santos I, Gonzalez Costas S, et al. [Home parenteral
nutrition in Crohn’s Disease patient: a case report]. Nutr Hosp.
;27(5):1655–7. doi: 10.3305/nh.2012.27.5.5884. [PubMed: 23478720].
Mundi MS, Vallumsetla N, Davidson JB, McMahon MT, Bonnes
SL, Hurt RT. Use of Home Parenteral Nutrition in Post-Bariatric
Surgery-Related Malnutrition. JPEN J Parenter Enteral Nutr. 2016. doi:
1177/0148607116649222. [PubMed: 27208038].
Girke J, Seipt C, Markowski A, Luettig B, Schettler A, Momma M, et
al. Quality of Life and Nutrition Condition of Patients Improve Under Home Parenteral Nutrition: An Exploratory Study. Nutr Clin Pract.
doi: 10.1177/0884533616637949. [PubMed: 27165116].
Abi Nader E, Lambe C, Talbotec C, Pigneur B, Lacaille F, GarnierLengline H, et al. Outcome of home parenteral nutrition in 251 children over a 14-y period: report of a single center. Am J Clin Nutr.
;103(5):1327–36. doi: 10.3945/ajcn.115.121756. [PubMed: 27030532].
Theilla M, Lawinski M, Cohen J, Hadar E, Kagan I, Perkewick M, et al.
Safety of home parenteral nutrition during pregnancy. Clin Nutr. 2015.
doi: 10.1016/j.clnu.2015.12.001. [PubMed: 26708728].
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