Division of Gastroenterology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Nutr Clin Pract. 2022 Apr;37(2):388-392. doi: 10.1002/ncp.10756. Epub 2021 Sep 1.
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.
患有超短肠的患者吸收营养的能力不足。慢性肠衰竭（IF）导致的营养需求需要通过肠外营养（PN）来满足。我们报告了一例因广泛的小肠扭转引起的小肠缺血导致的超短肠而引起的恶病质和 IF 的病例。在使用间接测热法为这类超短肠患者进行能量处方时，PN 目标优化尚未在成人中报道。该病例说明了优化 PN 的挑战，包括合成代谢状态等因素，以满足超短肠和恶病质患者的营养需求。
