Remaining Small Bowel Length: Association with Catheter Sepsis in Patients Receiving Home Total Parenteral Nutrition: Evidence of Bacterial Translocation

2000 ◽  
Vol 24 (12) ◽  
pp. 1537-1541 ◽  
Author(s):  
Ricardo M. Terra ◽  
Caio Plopper ◽  
Dan L. Waitzberg ◽  
Celso Cukier ◽  
Sérgio Santoro ◽  
...  
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Bacterial Translocation ◽  
Small Bowel Length ◽  
Bowel Length ◽  
Catheter Sepsis

Remaining Small Bowel Length Can Predict the High Rate of Total Parenteral Nutrition Complications in Intestinal Failure?

2017 ◽  
Vol 101 ◽  
pp. S126-S127
Author(s):  
Canbak Tolga ◽  
Aylin Acar ◽  
Kerem H. Tolan ◽  
Sibel Serin ◽  
Senay G. Tomruk ◽  
...  
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Intestinal Failure ◽  
High Rate ◽  
Small Bowel Length ◽  
Bowel Length

scholarly journals Effect of Total Parenteral Nutrition Plus Morphine on Bacterial Translocation in Rats

1993 ◽  
Vol 217 (3) ◽  
pp. 286-292 ◽  
Author(s):  
Peter M. Kueppers ◽  
Thomas A. Miller ◽  
Chung-Ying K. Chen ◽  
Gregory S. Smith ◽  
Liliana F. Rodriguez ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Bacterial Translocation

Total parenteral nutrition, bacterial translocation, and host immune function

1994 ◽  
Vol 167 (1) ◽  
pp. 145-150 ◽  
Author(s):  
Jian Shou ◽  
Jacqueline Lappin ◽  
Emery A. Minnard ◽  
John M. Daly
Keyword(s):  
Parenteral Nutrition ◽  
Immune Function ◽  
Total Parenteral Nutrition ◽  
Bacterial Translocation

Trace Element Deficiencies during Total Parenteral Nutrition

1977 ◽  
Vol 11 (9) ◽  
pp. 536-541 ◽  
Author(s):  
Robert Lee Hull ◽  
Dennis Cassidy
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Parenteral Nutrition ◽  
Trace Element ◽  
Total Parenteral Nutrition ◽  
Therapeutic Agent ◽  
Copper Deficiency ◽  
Diagnostic Features ◽  
Case Presentation

The diagnostic features of copper deficiency are discussed, and a case presentation is compared with other reports in the literature. The need for copper supplement is stressed when total parenteral nutrition (TPN) is given to patients whose gastrointestinal tract is either shortened or incapable of reabsorbing copper. Since copper is recycled through the small bowel by way of the bile, any dysfunction of this area can lead to copper deficiency during TPN if inadequate amounts of copper are added to the basic TPN solutions. It is suggested that Dr. Shils' formula be used twice weekly for prophylaxis during long-term hyperalimentation and daily as a therapeutic agent when a deficiency is diagnosed.

scholarly journals In Vivo Small Bowel Length is Longer than in Formalin-Fixed Cadavers

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Zhou Randal ◽  
Orkin Bruce A ◽  
Williams James M ◽  
Serici Anthony ◽  
Poirier Jennifer ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Length ◽  
Bowel Length ◽  
Formalin Fixed

Intraoperative small bowel length measurements and analysis of demographic predictors of increased length

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Ezra N. Teitelbaum ◽  
Khashayar Vaziri ◽  
Sara Zettervall ◽  
Richard L. Amdur ◽  
Bruce A. Orkin
Keyword(s):  
Small Bowel ◽  
Small Bowel Length ◽  
Bowel Length ◽  
Demographic Predictors ◽  
Length Measurements

Preliminary Experience With Intestinal Transplantation in Infants and Children

PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 443-448
Author(s):  
Alan N. Langnas ◽  
B. W. Shaw ◽  
Dean L. Antonson ◽  
Stuart S. Kaufman ◽  
David R. Mack ◽  
...  
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Short Bowel Syndrome ◽  
Gastrointestinal Disease ◽  
Intestinal Transplantation ◽  
Infants And Children ◽  
Short Bowel ◽  
In Infants And Children

Objective. This report discusses the preliminary experience with intestinal transplantation in children at the University of Nebraska Medical Center. Patients. During the past 4 years, 16 intestinal transplants have been performed in infants and children. Thirteen have been combined liver and bowel transplants, and the remainder were isolated intestinal transplants. Nearly half of the patients were younger than 1 year of age at the time of surgery, and the vast majority were younger than 5 years of age. All but one had short bowel syndrome. Results. The 1-year actuarial patient and graft survival rates for recipients of liver and small bowel transplants were 76% and 61%, respectively. Eight of 13 patients who received liver and small bowel transplants remain alive at the time of this writing, with a mean length of follow-up of 263 (range, 7 to 1223) days. Six patients are currently free of total parenteral nutrition. All three patients receiving isolated intestinal transplants are alive and free of parenteral nutrition. The mean length of follow-up is 384 (range, 330 to 450) days. Major complications have included severe infections and rejection. Lymphoproliferative disease, graft-versus-host disease, and chylous ascites have not been major problems. Conclusions. Although intestinal transplantation is in its infancy, these preliminary results suggest combined liver and bowel transplants and isolated intestinal transplantation may be viable options for some patients with intestinal failure caused by short bowel syndrome or other gastrointestinal disease in whom long-term total parenteral nutrition is not an attractive option.

Life without Eating or Drinking

1978 ◽  
Vol 23 (6) ◽  
pp. 373-379 ◽  
Author(s):  
K.J. Macritchie
Keyword(s):  
Small Bowel ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Bowel Function ◽  
Psychological Trauma ◽  
Psychological Disturbance ◽  
Environmental Support ◽  
Psychosocial Studies ◽  
The Individual ◽  
Small Bowel Function

Total Parenteral Nutrition is no longer a short-term life-saving therapy, but can now provide an alternative permanent nutritional route following loss of small bowel function. Patients placed on the regimen go through several stages during adaptation. Those who have suffered from a chronic debilitating small bowel disease and have previously undergone multiple resections with poor residual nutritional intake, adapt more readily to the regimen than those who have suffered from the combined physical and psychological trauma of sudden massive loss of bowel. The technique has been successful in maintaining one individual in the group studied in good nutritional balance outside hospital for a period of eight years (13). This has been due to combined advances in medical surgical and pharmaceutical techniques (8). Further refinement of the nutritional support system utilized is needed to reduce the duration of the feeding process with the aim of minimizing sleep interruption and resultant fatigue. In elective consideration for TPN, assessment of both personality structure and domestic environmental support is advisable, since the patient generally does not do well in an unsupportive environment with resultant complications and frequent re-hospitalization. Conjoint training of a spouse or family member is essential; and introduction to another patient who has previously adapted well is beneficial. Later, a close liaison should be established with a Home Alimentation Nurse (8-10). The psychiatrist has a potential role in advising the gastroenterologist regarding the suitability of the individual being considered for elective total parenteral nutrition. He has a more definite role in the management of the psychological disturbance, frequently observed as depression, following surgery or later, when it appears secondary to the problems imposed by an altered modus vivendi. The group poses a further special challenge to the psychiatrist due to the unavailability of the normal route of administration of psychotropic drugs when they are indicated. In addition to the attainment of a relatively normal survival of individuals who have sustained complete loss of small bowel function, TPN offers vistas for research into body nutrition requirements (11) and demands further extensive detailed psychosocial studies of this unique group of individuals.

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