| Parenteral nutrition support of a patient with chronic mesenteric artery occlusive disease. | |
| | |
MedLine Citation:
|
PMID: 8326926 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Vascular catastrophe resulting in a bowel infarction requiring massive resection is one of the most common indications for long-term total parenteral nutrition (TPN). The causes of mesenteric artery disease include embolic and thrombotic occlusions, nonocclusive mesenteric ischemia, and chronic mesenteric ischemia. This paper describes a case of a patient with chronic ischemia. The indication for TPN was intestinal angina limiting oral intake, not short-bowel syndrome as a result of bowel infarction and surgery. The patient had an extensive history of atherosclerotic disease and abdominal symptoms. Her nutritional status was maintained with TPN and oral intake as symptomatically tolerated. She eventually developed catheter sepsis. Her cardiopulmonary status deteriorated and she died. Progressive mesenteric ischemia and possible infarction may have contributed to her death. The patient had indicated she did not want surgery for a bowel infarction. She did consent to surgical correction of her disease, if feasible. Although TPN can maintain the nutritional and metabolic status of a patient with chronic mesenteric ischemia, the associated risk of catheter sepsis emphasizes the necessity for expedient treatment of the primary pathology. |
| | |
Authors:
|
C Mueller; R Borriello; L Perlov-Antzis |
Related Documents
:
|
10849516 - Intraoperative myocardial ischemia recognized by transesophageal echocardiography monit... 16671446 - A novel neuroprotective compound fr901459 with dual inhibition of calcineurin and cyclo... 10950046 - Indium-111 leukocyte scintigraphy in suspected bowel ischemia. 17627186 - Prognostic significance of ischemia-modified albumin in patients with acute coronary sy... 9673426 - Elimination, but not accumulation, of metoprolol by rat isolated perfused heart is sele... 2899386 - Secondary prevention in elderly survivors of heart attacks. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition Volume: 8 ISSN: 0884-5336 ISO Abbreviation: Nutr Clin Pract Publication Date: 1993 Apr |
Date Detail:
|
Created Date: 1993-08-06 Completed Date: 1993-08-06 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8606733 Medline TA: Nutr Clin Pract Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 73-7 Citation Subset: N |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Chronic Disease Female Humans Mesenteric Arteries Mesenteric Vascular Occlusion / complications, therapy* Nutritional Status Parenteral Nutrition, Total / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Influence of dietary fatty acids on cytokine production and its clinical implications.
Next Document: Effect of anesthetics on sensory evoked potentials