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What is the role of parenteral nutrition in the management of the patient with severe acute pancreatitis?
Nutr Clin Pract
December 2024
Department of Surgery, Oregon Health Sciences University, Portland, Oregon, USA.
Severe acute pancreatitis often presents as a complex critical illness associated with a high rate of infectious morbidity, multiple organ failure, and in-hospital mortality. Breakdown of gut barrier defenses, dysbiosis of intestinal microbiota, and exaggerated immune responses dictate that early enteral nutrition (EN) is preferred over parenteral nutrition (PN) as the primary route of nutrition therapy. EN, however, is not feasible in all cases because of intolerance, risk of complications, or a direct contraindication to enteral feeding.
View Article and Find Full Text PDFChronic Intestinal Failure and Short Bowel Syndrome in Adults: The State of the Art.
GE Port J Gastroenterol
December 2024
GENE - Artificial Feeding Team, Gastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Background: Short bowel syndrome (SBS) is a devastating malabsorptive condition and the most common cause of chronic intestinal failure (CIF). During the intestinal rehabilitation process, patients may need parenteral support for months or years, parenteral nutrition (PN), or hydration/electrolyte supplementation, as a bridge for the desired enteral autonomy.
Summary: Several classification criteria have been highlighted to reflect different perspectives in CIF.
Reversal of Roux-en-Y Gastric Bypass to Normal Anatomy in a Severely Malnourished Patient After Metabolic Bariatric Surgery.
Cureus
October 2024
Upper Gastrointestinal and Metabolic Surgery Unit, Department of Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Article Synopsis
- Obesity is a major health issue, and metabolic bariatric surgery (MBS) like Roux-en-Y gastric bypass (RYGB) is a common treatment for obesity-related type 2 diabetes mellitus (T2DM), despite potential complications.
- A case study of a 52-year-old woman highlights the risks of RYGB, including severe weight loss and electrolyte imbalances, leading to the decision for a complex reversal surgery.
- The reversal of RYGB requires careful patient selection and preoperative management, with a collaborative approach involving various healthcare professionals for optimal outcomes.
An Unusual Association of Trichobezoar with Refeeding Syndrome and Subacute Intestinal Obstruction in Postoperative Period.
J Indian Assoc Pediatr Surg
August 2024
Department of Paediatrics, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.
Trichobezoar with Rapunzel syndrome is a rare condition seen in young females. Refeeding syndrome is a rare phenomenon that can occur in any chronically malnourished person after starting feeds. We discuss and review available literature of extremely rare cases of 11-year-old girl, with trichobezoar with refeeding syndrome with subacute intestinal obstruction in the postoperative period.
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