A Case of Short Bowel Syndrome Fed by Cyclic TPN

Wataru Sano, Takeshi Chiku, Yoshiaki Okamoto, Hiroyuki Nojima and Tsuguhiko Tashiro

Department of Surgery, Kamitsuga General Hospital

Total parenteral nutrition (TPN) is usually applied for severe short bowel syndrome. Nutritional support is different among patients according to the length of the residual intestine. A 45-year old man underwent a massive intestinal resection at a local hospital due to thrombosis of the superior mesenteric artery and was referred to our hospital. The residual intestine was 27 cm. The patient could feed by mouth, but his nutritional index deteriorated following reduction of parenteral nutrition. Following a nutritional assessment, the patient was placed on cyclic TPN which he tolerated well, and was able to return to normal social life.

Key words
cyclic total parenteral nutrition, home parenteral nutrition, short bowel syndrome

Reprint requests
Wataru Sano Department of Surgery, Kamitsuga General Hospital
1-1033 Shimota Machi, Kanuma, 322-855 JAPAN

Accepted
October 19, 2005

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