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Problems of Trace Elements and Vitamins during Long‐Term Total Parenteral Nutrition: A Case Report of Idiopathic Intestinal Pseudo‐obstruction
Author(s) -
Kadowaki Hiroko,
Ouchi Minami,
Kaga Makiko,
Motegi Tomiko,
Yanagawa Yukishige,
Hayakawa Hiroshi,
Hashimoto Gotaro,
Furuya Kiyokazu
Publication year - 1987
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 - 10.1177/0148607187011003322
Subject(s) - parenteral nutrition , medicine , vitamin , ambulatory , vitamin b12 , gastroenterology , pediatrics , surgery
An 8‐year‐old girl with chronic idiopathic intestinal pseudo‐obstruction (CIIP), who is the first case of CIIP in Japan, has been receiving total parenteral nutrition (TPN) for more than 6 years. During this time, she experienced deficiencies of copper, zinc, vitamin A, vitamin B 12 , folic acid, and biotin, and an excess of vitamin A; she exhibited a series of signs and symptoms due to these deficiencies and vitamin A overdosage. Nevertheless, careful monitoring of serum levels of trace elements and vitamins and appropriate therapy have almost solved these problems. She has achieved normal physical and mental development and goes to school, while receiving home parenteral nutrition with an ambulatory infusion system. ( Journal of Parenteral and Enteral Nutrition 11: 322–325,1987)