Details offive patients on home parenteral nutrition for intestinalfailure Time at Disease and Time on home on Weight at Weight at Case Age Sex nutritional parenteral parenteral start of end of No (years) problem nutrition nutrition treatment treatment (months) (months) (kg) (kg)

BACKGROUND We undertook this study to test the hypothesis that perioperative total parenteral nutrition (TPN) decreases the incidence of serious complications after major abdominal or thoracic surgical procedures in malnourished patients. METHODS We studied 395 malnourished patients (99 percent of them male) who required laparotomy or noncardiac thoracotomy. They were randomly assigned to rec...

Malnutrition, unfortunately, is not uncommon and malnourished patients suffer increased morbidity and mortality from surgery. Identification of protein-calorie deficient patients can be performed rapidly and inexpensively through standard techniques of nutritional assessment. If the gastrointestinal tract is available, safe and economic nutritional support may be provided by mouth or by tube fe...

BACKGROUND Perioperative nutrition in patients with limited liver function after partial hepatic resection is still controversial. In particular, the significance of perioperative total enteral nutrition remains unresolved. The aim of this review is to investigate the impact of early postoperative total enteral nutrition on convalescence after partial liver resection. MATERIALS AND METHODS In...

Parenteral nutrition-associated metabolic bone disease in children is manifested primarily as osteopenia and, on occasion, fractures. The etiology is likely multifactorial, with calcium and phosphate deficiency playing a major role in the preterm infant and with the role of aluminum toxicity yet to be clearly defined in this population. Lack of normal values of bone histomorphometry in the prem...

Introduction The newborn infant is in a 'critical epoch' of development. Nutritional deprivation may adversely affect not only the infant as a whole but also individual organs, notably the brain, leading to stunted physical and intellectual development [l]. In the surgical infant malnutrition is associated with increased morbidity and mortality; therefore, it is important that nutritional integ...

The diagnosis chylothorax is based on a chemical analysis of the pleural effusion. According to the literature, this analysis can be rather straightforward, comprising measurements of triglycerides, chylomicrons, and cholesterol. In this report we present an autopsy case that alerted us to interpret these results critically. Although the laboratory tests of the pleural effusion in this patient ...

A syndrome of hepatosplenomegaly, thrombocytopenia, and anemia and the presence of sea-blue histiocytes in bone marrow has been associated with parenteral soybean oil administration in patients receiving long-term total parenteral nutrition (TPN). A case is described here where this syndrome was observed in a pediatric patient who received long-term parenteral fish oil nutrition.

New techniques widen the anesthetist's scope and understanding, while placing a new perspective on total anesthesia care and management. Here is one such technique that bears consideration. Total parenteral nutrition (TPN) is the continuous intravenous injection of hypertonic solutions of dextrose, protein (as crystalline amino acid or hydrosalate), vitamins and trace elements. It maintains the...