title: [Home parenteral nutrition in Crohn's Disease patient: a case report].
abstract: Patient diagnosed with Crohn's Disease with inflammatory pattern that evolves stenosing-piercing, causing abdominal perforation and fecal peritonitis. She was underwent to three surgeries, leading to numerous complications and a torpid clinical course. Given the state of malnutrition on admission it was prescribed Total Parenteral Nutrition (TPN), extending the administration for more than 10 months. In this period the TPN is suspended for 5 days, but the persistence of an enterocutaneous fistula causes the restoration of the TPN. After clinical stabilization, the patient is discharged to recover her nutritional status necessary to perform a bowel reconstruction surgery, continuing with TPN at home. After 7 and a half months, the patient with an optimal nutritional status, undergoes surgery, evolving favorably and suspending the TPN at 9 days.
authors.affiliation: Servicio de Farmacia, Complejo Hospitalario Universitario de Vigo, Xeral-Cies, Vigo, España. natividad.lago.rivero@sergas.es
authors.forename: N
authors.initials: N
authors.lastname: Lago Rivero
authors.forename: A
authors.initials: A
authors.lastname: Mucientes Molina
authors.forename: A
authors.initials: A
authors.lastname: Paradela Carreiro
authors.forename: C
authors.initials: C
authors.lastname: Vázquez Gómez
authors.forename: I
authors.initials: I
authors.lastname: Arias Santos
authors.forename: S
authors.initials: S
authors.lastname: González Costas
authors.forename: A
authors.initials: A
authors.lastname: Regueira Arcay
mesh_terms: D003424:Crohn Disease / Q000601:surgery / Q000628:therapy*; D017577:Cutaneous Fistula / Q000209:etiology; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D044342:Malnutrition / Q000209:etiology / Q000628:therapy; D009752:Nutritional Status; D016562:Parenteral Nutrition, Home Total / Q000379:methods*; D055815:Young Adult