Patients with ultrashort gut have inadequate nutrient absorption. Parenteral nutrition (PN) is required to meet nutrition requirements caused by chronic intestinal failure (IF). We present a case of cachexia and IF caused by ultrashort gut following an extensive small-bowel resection caused by volvulus that was complicated by small-bowel ischemia. Targeting energy prescriptions to optimize PN using indirect calorimetry in this population with ultrashort gut has not been reported in adults. This case serves to outline the challenges in optimizing PN, including factors such as anabolic status, to meet nutrition requirements in patients with ultrashort gut and cachexia.
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http://dx.doi.org/10.1002/ncp.10756 | DOI Listing |
Nutr Clin Pract
August 2024
Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Nutr Clin Pract
August 2024
Department of Surgery-Transplant, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Gut
June 2024
Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Background: Ultra-short coeliac disease (USCD) is defined as villous atrophy only present in the duodenal bulb (D1) with concurrent positive coeliac serology. We present the first, multicentre, international study of patients with USCD.
Methods: Patients with USCD were identified from 10 tertiary hospitals (6 from Europe, 2 from Asia, 1 from North America and 1 from Australasia) and compared with age-matched and sex-matched patients with conventional coeliac disease.
J Med Case Rep
July 2023
Unggul Karsa Medika Teaching Hospital, Taman Kopo Indah III Block H-1, Bandung, West Java, 40218, Indonesia.
Background: Hirschsprung's disease is a congenital disorder identified by the absence of ganglion cells at the Meissner's plexus of the submucosa and Auerbach's plexus of the muscularis. This disease can be found in approximately 1 in 5000 live births. It is a congenital disorder that is rarely diagnosed in adults, where 95% of cases are diagnosed in infants aged under 1 year old.
View Article and Find Full Text PDFJ Mater Chem A Mater
August 2022
Laboratory of Energy Science and Engineering, Department of Mechanical and Process Engineering, ETH Zurich CH-8092 Zürich Switzerland
MgO is a promising solid oxide-based sorbent to capture anthropogenic CO emissions due to its high theoretical gravimetric CO uptake and its abundance. When MgO is coated with alkali metal salts such as LiNO, NaNO, KNO, or their mixtures, the kinetics of the CO uptake reaction is significantly faster resulting in a 15 times higher CO uptake compared to bare MgO. However, the underlying mechanism that leads to this dramatic increase in the carbonation rate is still unclear.
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