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Role of Home Total Parenteral Nutrition in Management of Obliterative Peritonitis
Author(s) -
Lennard E. Stan,
Miller Donald G.
Publication year - 1981
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 - 10.1177/0148607181005002154
Subject(s) - parenteral nutrition , peritonitis , medicine , intensive care medicine
Two patients with obliterative peritonitis complicating enterocutaneous fistulae received total parenteral nutrition prior to surgical closure. One patient managed on home parenteral nutrition for 8 mo experienced psychosocial and nutritional rehabilitation at a daily cost of $37. Experience with the other patient confirmed that a significant resolution of obliterative inflammatory changes can occur during a 4‐mon period of bowel rest when septic foci have been drained adequately. In‐hospital management was required by this patient, and daily charges greatly exceeded those accrued by the other patient who could be managed at home. A home parenteral nutrition program is a cost‐effective means of providing time for resolution of obliterative peritonitis.