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Use of Parenteral Nutrition in Patients Receiving Isolated Kidney or Simultaneous Pancreas/Kidney Transplantation
Author(s) -
Sacks Gordon S.,
AguilarNascimento Jose E.,
Kudsk Kenneth A.
Publication year - 2007
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/014860710703100108
Subject(s) - medicine , parenteral nutrition , pancreas , kidney transplantation , kidney , intensive care medicine , transplantation , pancreas transplantation , gastroenterology
Background: There is little information available on the use of parenteral nutrition (PN) in patients after a kidney (KID) or simultaneous pancreas‐kidney (SPK) transplantation. This study examined the indications and use of PN in these patients. Methods: Retrospective study of 25 patients (12M/13F; mean age: 51 ± 11 years old) receiving PN after KID or SPK transplantation. Patients were divided in 2 groups according to the number of PN days (group A = <7 days and group B = >7 days). Results: Overall mortality was 16% (group A: 0/7; group B: 4/18). Postoperative ileus (n = 7), intestinal fistula (n = 5), and nausea/vomiting (n = 4) were the most common indications for PN. Functional disorders accounted for 56% (14/25) of the indications for PN. Factors differentiating group A (7/25; median = 5 [4–6] days) from group B (18/25; median =9 [7–31] days) included a significantly higher preoperative serum albumin, SPK transplantation for the first time, and diagnosis of ileus as the indication for PN initiation. Conclusions: Functional disorders of the digestive tract are the primary reason for initiation of PN in isolated KID and SPK transplantation patients. Well‐nourished patients undergoing their first SPK transplantation who develop postoperative ileus usually do not need nutrition intervention.