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Growth Factors and Nutrients in the Short Bowel Syndrome
Author(s) -
Wilmore Douglas W.
Publication year - 1999
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 - 10.1177/014860719902300529
Subject(s) - short bowel syndrome , nutrient , parenteral nutrition , medicine , gastroenterology , intensive care medicine , biology , ecology
ABSTR.ACT. Massive intestinal resection often results in long‐term dependence on parenteral nutrition (TPN). In an effort to enhance bowel rehabilitation, the amino acid glutamine, growth hormone and a diet optimized to enhance absorption have been administered to >300 patients with the short bowel syndrome. Initially about 60% of the patients were weaned from TPN and an additional 30% had reduced TPN requirements. At long‐term follow up (2 years) 40% of the group remained off TPN, 40% had reduced TPN requirements, and 20% had the same requirements. This report addresses issues such as the optimization of diet and provides a care map which should enhance the rehabilitation of patients with the short bowel syndrome. (Journal of Parenteral and Enteral Nutrition23:S117‐S120, 1999)