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Use of parenteral nutrition in treatment of advanced regional enteritis

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Abstract

Eight patients with advanced regional enteritis characterized by multiple areas of involvement, previous surgery (5 of 8), and failure on medical therapy (6 of 8) were placed on total parenteral nutrition for a period of 30 days. In eight of nine courses administered, definite improvement marked by weight gain, diminished pain, decreased diarrhea, and increased serum albumin was found. However, clinical remission was transient in seven of eight successful courses, indicating that parenteral nutrition is not a definitive form of therapy. However, the results suggest that parenteral nutrition may be useful in patients with regional enteritis to a) restore nutrition, b) induce remission, and c) prepare a debilitated patient for surgery. Additional experience is required to determine the efficacy of parenteral nutrition for therapy of fistulae caused by regional enteritis.

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References

  1. Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE: Long-term total parenteral nutritions with growth, development and positive nitrogen balance. Surgery 64:134–142, 1968

    Google Scholar 

  2. Dudrick SJ, Long JM, Steiger E, Rhoads JE: Intravenous hyperalimentation, Med Clin North Am 54:577–589, 1970

    Google Scholar 

  3. Johnston ID: Parenteral feeding. Practitioner 206:103–110, 1971

    Google Scholar 

  4. Vogel CM, Kingsbury RJ, Baue AE: Intravenous hyperalimentation. Arch Surg 105:414–419, 1972

    Google Scholar 

  5. Fischer JE, Foster GS, Abel RM, et al: Hyperalimentation as primary therapy for inflammatory bowel disease. Am J Surg 125:165–175, 1973

    Google Scholar 

  6. Anderson DL: Acalculous cholecystitis, a possible complication of parenteral hyperalimentation. Med Ann DC 41:448–450, 1972

    Google Scholar 

  7. Dudrick SJ, Ruberg RL: Principles and practice of parenteral nutrition. Gastroenterology 61:901–909, 1972

    Google Scholar 

  8. Silvis SE, Paragas PD: Paresthesias, weakness, seizures and hypophosphatemia in patients receiving hyperalimentation. Gastroenterology 62:513–519, 1972

    Google Scholar 

  9. Curry CR, Quie PG: Fungal septicemia in patients receiving parenteral hyperalimentation. N Engl J Med 285:1221–1225, 1971

    Google Scholar 

  10. Aufses AJ, Kreel I: Ileostomy for granulomatous colitis. Ann Surg 173:91–96, 1971

    Google Scholar 

  11. Beeker WL, Busch HJ, Sylvester DL: Intestinal protein loss in Crohn's disease. Gastroenterology 62:207–214, 1972

    Google Scholar 

  12. Hamilton RF, Davis WC, Stephenson DV, Magee DF: Effects of parenteral hyperalimentation on upper gastrointestinal tract secretions. Arch Surg 102:348–352, 1971

    Google Scholar 

  13. Stephens RV, Bury RD, DeLuca FG, Randall HT: Use of an elemental diet in the nutritional management of catabolic disease in infant. Am J Surg 123:374–379, 1972

    Google Scholar 

  14. Bury KD, Stephens RV, Randall HT: Use of a chemically defined liquid elemental diet for nutritional management of fistulae of the alimentary tract. Am J Surg 121:174–182, 1971

    Google Scholar 

  15. Atkins RC, Vizzo JE, Cole JJ, Blagg CR, Scribner BH: The artificial gut in hospital and home: technical improvements. Trans Am Soc Artif Intern Organs. 15:260–266, 1970

    Google Scholar 

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Authors and Affiliations

  1. Gastroenterology Service, Walter Reed Army Medical Center, Washington, DC

    Daniel L. Anderson MD, MAJ, MC & H. Worth Boyce Jr MD, COL, MC

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  1. Daniel L. Anderson MD, MAJ, MC
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  2. H. Worth Boyce Jr MD, COL, MC
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Anderson, D.L., Boyce, H.W. Use of parenteral nutrition in treatment of advanced regional enteritis. Digest Dis Sci 18, 633–640 (1973). https://doi.org/10.1007/BF01072033

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