[The administration of intermittent outpatient total parenteral nutrition via a subcutaneous reservoir].
The development of artificial nutrition has made it possible to maintain the nutritional condition and survival of patients with large intestinal resections along with therapeutic support in certain pathological processes. As such patients have become aware of their potential and the prolonged life expectancy offered, they have increased their demands for enhanced comfort and independence. The experience with a patient with short gut syndrome following quasi-total intestinal resection due to necrosis, and with another with post-esophagocoloplasty necrosis, and the administration of intermittent outpatient total parenteral nutrition through a subcutaneous reservoir in both cases, enabled us to appreciate the advantages of the reservoir in administration of the nutrition. The ease of administration, reduced risk of infection and the positive psychological effect seen in these patients, enabled to lead a "practically normal" life, all vindicate the use of this method.
Servicio de Cirugía General y Digestiva, Hospital General Universitario de Valencia, España.
F
F
Ripoll Orts
R
R
Villalba Caballero
A
A
Vázquez Prado
E
E
Martí Bonmatí
E
E
Artigues Sánchez de Rojas
R
R
Trullenque Peris
D000328:Adult; D000553:Ambulatory Care / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016562:Parenteral Nutrition, Home Total / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011182:Postoperative Care / Q000009:adverse effects / Q000379:methods