Parenteral protein-sparing modified fast in an obese adolescent with Prader-Willi syndrome.
A ventilator-dependent, extremely obese adolescent patient with Prader-Willi syndrome was nutritionally managed using a parenteral, protein-sparing modified fast. A solution containing only amino acids, electrolytes, vitamins, and macro- and micro-minerals helped create a ketotic state and facilitate weaning from the ventilator. This case demonstrates an unusual strategy for achieving weight loss and the challenge to provide adequate protein intake while limiting fluid intake.
Collier
S B
SB
Massachusetts General Hospital, Harvard Medical School, Boston.
Walker
W A
WA
D000293:Adolescent; D000596:Amino Acids / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage*; D005215:Fasting; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications / Q000628:therapy*; D010288:Parenteral Nutrition; D011218:Prader-Willi Syndrome / Q000150:complications*; D012121:Respiration, Artificial
D000596:Amino Acids; D004044:Dietary Proteins