MARYBETH DRISCOLL, B.S.PHARM., is Staff Pharmacist, Parenteral Admixture Compounding Facility, Department of Pharmacy, B. I. Deaconess Medical Center (BIDMC), Boston, MA. DAVID F. DRISCOLL, PH.D., is Assistant Professor of Medicine, Harvard Medical School, and Senior Researcher, Nutrition/Infection Laboratory, Department of Medicine, BIDMC. Calculating aluminum content in total parenteral nutri...

total parenteral nutrition and in particular when treatment is complicated by the development of liver failure. In the long term the goal must be to achieve successful transplantation of the small bowel on its own since only a few patients receiving total parenteral nutrition develop severe liver impairment. As in the early days of all other forms of organ transplantation, there are likely to b...

Retroperitoneal chylous effusion after urological surgery is a rare and serious complication. Failure in treatment may result in cachexia, threatening the life of the patient. We present the treatment of two cases of postoperative chyloretroperitoneum with the use of somatostatin, octreotide and total parenteral nutrition. In Case 1, an 87-year-old man, a retroperitoneal lymphatic fistula occur...

BACKGROUND Total parenteral nutrition (TPN) as a traditional mode of treatment in severe acute pancreatitis was still used widely in clinical work. In addition, enteral nutrition treatment methods have developed; early enteral nutrition has already been highlighted for severe acute pancreatitis, but the therapeutic risks versus benefits need to be studied. AIMS AND OBJECTIVE To compare total ...

CONTEXT The use of parenteral nutrition via a central venous catheter is a common practice in the neonatal intensive care setting. Extravasation of the infusate leading to an acute abdomen is a complication that has only rarely been documented. This report describes the case of a premature infant with a femoral catheter placed in the inferior vena cava, who developed an acute abdomen as a resul...

Fifty nine infants of birthweight less than 1500 g were allocated alternately to initial total parenteral nutrition or to transpyloric feeding. Mortality was similar between the two groups. Ten of the 29 infants in the transpyloric group failed to establish full enteral nutrition during the first week of life. No beneficial effects on growth were shown in infants receiving parenteral nutrition....