Potential hazards of excluded bowel and use of parenteral nutrition: a case report.
This case demonstrates that excluded gut may be a reservoir for bacterial translocation and recurrent sepsis. Translocation may contribute to cholestatic hepatitis, and restoration of bowel continuity is fundamental to reversing these pathologic changes. It also emphasizes that parenteral nutrition even when used as interim supportive treatment is not without serious hazard.
Reynolds
N
N
Department of Digestive Disease and Clinical Nutrition, Ninewells Hospital and Medical School, Dundee, Scotland.
Zentler-Munro
P
P
Cuschieri
A
A
Pennington
C R
CR
D016470:Bacteremia / Q000209:etiology; D018988:Bacterial Translocation; D002779:Cholestasis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D007582:Jejunostomy / Q000009:adverse effects; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000009:adverse effects*; D012778:Short Bowel Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery