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Intravenous feeding of a complete diet in a child: report of a case

F W Helfrick, N M Abelson

    JPEN. Journal of Parenteral and Enteral Nutrition
    |November 1, 1978
    PubMed

    Insights

    This study demonstrates that complete intravenous feeding can be a life-saving procedure for infants with severe malnutrition (marasmus). This nutritional support enabled successful treatment of Hirschsprung

    Area of Science:

    • Pediatric surgery
    • Gastroenterology
    • Neonatology

    Background:

    • Hirschsprung's disease is a congenital condition affecting the large intestine.
    • Infants with Hirschsprung's disease can experience complications like digestive upset and infections.
    • Severe malnutrition, or marasmus, can be life-threatening in infants.

    Observation:

    • A 5-month-old infant with Hirschsprung's disease presented with severe marasmus.
    • The infant's condition indicated a high risk of mortality.
    • The infant experienced digestive upset and an upper respiratory infection.

    Findings:

    • Complete intravenous feeding was administered for five days.
    • The intravenous feeding included fats, carbohydrates, and amino acids.
    • There was a rapid and significant improvement in the infant's nutritional status.

    Implications:

    • Total parenteral nutrition (TPN) can be a practical and life-saving procedure for infants.
    • TPN is particularly beneficial for marasmic infants or those unable to feed orally.
    • This approach can be crucial when oral intake must be withheld for therapeutic reasons.

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