Challenges in parenteral nutrition in adult ultrashort gut: A case of cachexia
| Autor: | Lindsey Russell, Leah Gramlich |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Short Bowel Syndrome Parenteral Nutrition medicine.medical_specialty Cachexia Population Medicine (miscellaneous) Resection Intestine Small medicine Humans In patient Intensive care medicine education education.field_of_study Nutrition and Dietetics business.industry digestive oral and skin physiology Short bowel syndrome medicine.disease Chronic intestinal failure Malnutrition Parenteral nutrition Parenteral Nutrition Total business |
| Zdroj: | Nutrition in Clinical Practice. 37:388-392 |
| ISSN: | 1941-2452 0884-5336 |
| Popis: | Patients with ultrashort gut have inadequate nutrient absorption. Parenteral nutrition (PN) is required to meet nutrition requirements caused by chronic intestinal failure (IF). We present a case of cachexia and IF caused by ultrashort gut following an extensive small-bowel resection caused by volvulus that was complicated by small-bowel ischemia. Targeting energy prescriptions to optimize PN using indirect calorimetry in this population with ultrashort gut has not been reported in adults. This case serves to outline the challenges in optimizing PN, including factors such as anabolic status, to meet nutrition requirements in patients with ultrashort gut and cachexia. |
| Databáze: | OpenAIRE |
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