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Parenteral nutrition in intractable diarrhea
Arquivos De Gastroenterologia
|July 1, 1978
Insights
Total Central Parenteral Nutrition (TCPN) effectively treated infants with severe diarrhea unresponsive to standard methods. This nutritional support led to recovery in ten out of twelve infants, highlighting its potential in critical pediatric cases.
Area of Science:
- Pediatrics
- Neonatology
- Clinical Nutrition
Background:
- Protracted diarrhea in infants poses significant management challenges.
- Conventional treatments are often insufficient for severe, prolonged cases.
- Nutritional support is critical for infant recovery.
Purpose of the Study:
- To evaluate the efficacy of Total Central Parenteral Nutrition (TCPN) in infants with intractable diarrhea.
- To assess the safety and feasibility of TCPN in a non-specialized setting.
Main Methods:
- Twelve infants with protracted diarrhea were treated with TCPN.
- Eleven of the infants were under six months of age.
- Treatment involved detailed monitoring and nutritional management.
Main Results:
- Ten out of twelve infants recovered following TCPN treatment.
- Two infants did not survive the treatment period.
- TCPN demonstrated a high recovery rate in this cohort.
Conclusions:
- TCPN is a viable and effective treatment for infants with severe, intractable diarrhea.
- The procedure can be considered in centers without specialized nutrition expertise.
- Careful patient selection and monitoring are essential for successful outcomes.
Abstract:
Twelve infants with protracted diarrhea, unmanageable by the usual procedures, were treated with Total Central Parenteral Nutrition. Eleven of them were less than six months old. Two infants died in the course of treatment; the other ten recovered. The authors discuss the indications of this procedure, the technique used and, the possibility of performing it in centers not specialized in Nutrition.