title: A Short Bowel (Small Intestine = 40 cm), No Ileocecal Valve, and Colonic Inertia Patient Works Well with Oral Intake Alone without Parenteral Nutrition.
abstract: We present a 50-year-old male who suffered from ischemic bowel disease, having undergone massive resection of small intestine and ileocecal valve. He had to cope with 40 cm proximal jejunum and 70 cm distal colon remaining. In the postoperative period parenteral nutrition (PN) was used immediately for nutrition support and electrolyte imbalance correction. We gave him home PN as regular recommendation for the short bowel status after discharge from hospital. This patient has tolerated regular oral intake 2 months later and did not develop significant short bowel syndrome. There were several episodes of venous access infection which troubled this patient and admitted him for treatment during home PN. Therefore, we changed home PN to cyclic tapering pattern. The patient could maintain his nutrition and hydration with oral intake alone after tapering home PN 15 months later. He has survived more than one year without PN support and still maintained 80% ideal body weight with average albumin of 3.5 ± 0.2 mg/dL. Although patient was hospitalized every two months to supplement nutrients, however, this has greatly improved the quality of life.
authors.affiliation: Department of Nutrition, Tainan Sin-Lau Hospital, No. 57, Section 1, Dongmen Road, Tainan City 70142, Taiwan.
authors.forename: Ming-Yi
authors.identifier: 0000-0002-1421-6289
authors.initials: MY
authors.lastname: Liu
authors.affiliation: Department of Surgery, Tainan Sin-Lau Hospital, No. 57, Section 1, Dongmen Road, Tainan City 70142, Taiwan.
authors.forename: Hsiu-Chih
authors.initials: HC
authors.lastname: Tang
authors.affiliation: Department of Nursing, Tainan Sin-Lau Hospital, No. 57, Section 1, Dongmen Road, Tainan City 70142, Taiwan.
authors.forename: Hui-Lan
authors.initials: HL
authors.lastname: Yang
authors.affiliation: Department of Life Sciences, College of Bioscience and Biotechnology, National Cheng Kung University, No. 1, University Road, Tainan City 701, Taiwan.
authors.forename: Sue-Joan
authors.identifier: 0000-0002-9651-4262
authors.initials: SJ
authors.lastname: Chang