title: [Organization and coordination of long-term total parenteral nutrition at home in the course of rehabilitation].
abstract: At the rehabilitation hospital of Visegrád between 1996-2003 there were altogether 7 patients suffering from short bowel syndrome, 6 of them in the last 2 years. The purpose of this study is to demonstrate 2 cases of long-term total parental nutrition. One of the patients is a 60 year-old man, in whom gut resection has been performed because of acute arteria mesenterica superior occlusion. After gut resection 10 cm jejunum, a half colon transversum and the colon descendent were left. The central total parenteral nutrition has been going on for 365 days, for the last 255 days it has been performed at home: 2000 ml/day all-in-one nutrition solution + 500 ml oral high-fibre food preparation. At the beginning of the total parenteral nutrition the patient's weight was 64.5 kg (BMI: 23.5 kg/m2) which decreased to 51.5 kg (BMI: 18.5 kg/m2) owing to the reduction of the TPN to 1200 ml/day. This weight has been kept since then and the quality of life is satisfactory. Complication: increase of liver enzymes (GGT, ALP). The other patient is 48 years old with gut resection owing to art. mes. thrombosis. After gut resection 20 cm jejunum and the left side colon were left. The parenteral nutrition has been going on for 352 days (30 days were spent at home): 2000 ml all-in-one nutrition solution (the high-fibre oral nutrition solution was not tolerated in this case). The patient's weight is 54.5 kg (BMI: 18.33 kg/m2), ALP and GGT are getting back to normal.
  
  
  RESULTS
  central venous tube sepsis which made it necessary to change the tube on several occasions.
mesh_terms: D001835:Body Weight; D006801:Humans; D006814:Hungary; D007410:Intestinal Diseases / Q000097:blood / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016562:Parenteral Nutrition, Home Total / Q000009:adverse effects / Q000379:methods; D015430:Weight Gain; D015431:Weight Loss