title: Oral Rehydration Therapy and Feeding Replaces Total Parenteral Nutrition: A Clinical Vignette.
abstract: A 27-year-old patient with spina bifida and a high output loss of water and electrolytes from her ileostomy was successfully liberated from dependency on total parenteral nutrition and intravenous fluid and electrolyte replacement by the use of a rice-based oral rehydration therapy (ORT). This allowed her to return home to the care of her mother. We suggest that ORT can be effective in the context of modern high-technology settings, as well as in resource-poor situations.
authors.affiliation: Johns Hopkins University School of Medicine, 5505 Hopkins Bayview Circle, Baltimore, MD, 21224, USA.
authors.forename: Scott Mitchell
authors.initials: SM
authors.lastname: Wright
authors.affiliation: Shifa College of Medicine, Islamabad, Pakistan.
authors.forename: Muhammad Jawad
authors.initials: MJ
authors.lastname: Noon
authors.affiliation: Johns Hopkins University School of Medicine, 5505 Hopkins Bayview Circle, Baltimore, MD, 21224, USA. wgreeno2@jhmi.edu.
authors.forename: William Bates
authors.initials: WB
authors.lastname: Greenough
mesh_terms: D000328:Adult; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D007081:Ileostomy / Q000534:rehabilitation*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D015532:Rehydration Solutions / Q000737:chemistry
chemical_list: D015532:Rehydration Solutions
keywords: ileostomy; oral rehydration therapy; total parenteral nutrition