Reynolds N, Zentler-Munro P, Cuschieri A, Pennington CR. Potential hazards of excluded bowel and use of parenteral nutrition: a case report.
Nutrition 1997;
13:971-4. [PMID:
9433713 DOI:
10.1016/s0899-9007(97)00339-0]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
This case demonstrates that excluded gut may be a reservoir for bacterial translocation and recurrent sepsis. Translocation may contribute to cholestatic hepatitis, and restoration of bowel continuity is fundamental to reversing these pathologic changes. It also emphasizes that parenteral nutrition even when used as interim supportive treatment is not without serious hazard.
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