A patient was treated by home parenteral nutrition because of alimentary failure due to active Crohn's disease, enterocutaneous fistulae, and the short bowel syndrome following massive intestinal resection. This therapy has now been continued for twelve months during which her symptoms, weight, and quality of life have all improved. Complications included an episode of Staph. Albus bacteraemia, and displacement of the replacement catheter. Hepatic steatosis due to excessive dextrose administration because of apparent allergy to Intralipid constitutes an unresolved problem.
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RiellaMCScribnerBH. Five years experience with a right atrial catheter for prolonged parenteral nutrition at home. Surg Gynecol Obstet1976; 143:205–208.
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Report on a Symposium: Home Parenteral Nutrition in England and Wales. Br Med J1980; 2:1407–1409.
4.
JeezeebhoyKNLangerBTsallasGChuRCKuskisAAndersonGH. Total parenteral nutrition at home, studies in patients surviving four months to five years. Gastroenterology1976; 71:943–953.
