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A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition
Joint Authors
Yang, Hui-Lan
Tang, Hsiu-Chih
Chang, Sue-Joan
Liu, Ming-Yi
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We present a 50-year-old male who suffered from ischemic bowel disease, having undergone massive resection of small intestine and ileocecal valve.
He had to cope with 40 cm proximal jejunum and 70 cm distal colon remaining.
In the postoperative period parenteral nutrition (PN) was used immediately for nutrition support and electrolyte imbalance correction.
We gave him home PN as regular recommendation for the short bowel status after discharge from hospital.
This patient has tolerated regular oral intake 2 months later and did not develop significant short bowel syndrome.
There were several episodes of venous access infection which troubled this patient and admitted him for treatment during home PN.
Therefore, we changed home PN to cyclic tapering pattern.
The patient could maintain his nutrition and hydration with oral intake alone after tapering home PN 15 months later.
He has survived more than one year without PN support and still maintained 80% ideal body weight with average albumin of 3.5 ± 0.2 mg/dL.
Although patient was hospitalized every two months to supplement nutrients, however, this has greatly improved the quality of life.
American Psychological Association (APA)
Liu, Ming-Yi& Tang, Hsiu-Chih& Yang, Hui-Lan& Chang, Sue-Joan. 2014. A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-468131
Modern Language Association (MLA)
Liu, Ming-Yi…[et al.]. A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition. Case Reports in Surgery No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-468131
American Medical Association (AMA)
Liu, Ming-Yi& Tang, Hsiu-Chih& Yang, Hui-Lan& Chang, Sue-Joan. A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-468131
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468131