Ferry G D, Cupello J L, Kreh S
G E N. 1976 Jul-Dec;31(1-2):19-23.
The purpose of the paper is to demonstrate the usefulness of total parenteral hyperalimentation in a lactant, 4 months old patient with ulcerative colitis. At admission the lactant had diarrhea, dehydratation, anemia, malnutrition, and edema in the ankles. Proctoscopy and barium enema, and rectal biopsy were typical of ulcerative colities. Treatment included steroids and azulfidine. Evolution was poor and signs of perforation appeared. Total intravenous hyperalimentation was used and after one month the diarrhea disappeared and the patient gained weight. Ulcerative colitis is rare in lactants and usually appeares a chronic diarrhea. The diagnosis should be based on radiology, endoscopy, and biopsy. Parenteral hyperalimentation is the only treatment that permits to keep the colon at total rest while simultaneously maintaining nutrition.
本文的目的是证明全胃肠外营养在一名4个月大的溃疡性结肠炎婴儿患者中的有效性。入院时，该婴儿有腹泻、脱水、贫血、营养不良和脚踝水肿。直肠镜检查、钡灌肠和直肠活检均为溃疡性结肠炎的典型表现。治疗包括使用类固醇和柳氮磺胺吡啶。病情进展不佳，出现了穿孔迹象。采用了全胃肠外营养，一个月后腹泻消失，患者体重增加。溃疡性结肠炎在婴儿中罕见，通常表现为慢性腹泻。诊断应基于放射学、内镜检查和活检。胃肠外营养是唯一能使结肠完全休息同时维持营养的治疗方法。
