title: Application of the A.S.P.E.N. clinical guideline for nutrition support of hospitalized adult patients with obesity: a case study of home parenteral nutrition.
abstract: An A.S.P.E.N. clinical guideline addressing the nutrition support of hospitalized adult patients with obesity was recently published in the Journal of Parenteral and Enteral Nutrition. Among the patient presentations for which this guideline might be used is those who have a gastrointestinal complication after bariatric surgery. A case study is discussed of a 43-year-old woman with a long history of severe obesity who had a bowel obstruction approximately 2 weeks after her laparoscopic sleeve gastrectomy surgery. The patient's treatment plan for bowel rest and home parenteral nutrition was based on the A.S.P.E.N. clinical guideline for patients with obesity. She tolerated the course well and resumed the expected diet advancement and weight loss patterns expected of her weight-loss surgery.
authors.affiliation: Charlene Compher, University of Pennsylvania, Claire M. Fagin Hall, 418 Curie Blvd, Philadelphia, PA 19104-4217, USA. Email: compherc@nursing.upenn.edu.
authors.forename: Phyllis Ann
authors.initials: PA
authors.lastname: Schiavone
authors.forename: Korinne
authors.initials: K
authors.lastname: Piccolo
authors.forename: Charlene
authors.initials: C
authors.lastname: Compher
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D005743:Gastrectomy; D006801:Humans; D015596:Nutrition Assessment; D009767:Obesity, Morbid / Q000601:surgery / Q000628:therapy; D016331:Parenteral Nutrition, Home / Q000379:methods / Q000592:standards*; D011182:Postoperative Care / Q000379:methods; D011184:Postoperative Period; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
keywords: adult; nutrition; nutrition assessment; obesity; parenteral nutrition; practice guidelines