This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (20)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

David Grischkan, MD; Ezra Steiger, MD; Victor Fazio, MD

Arch Surg. 1979;114(7):838-841.

Abstract
• We studied four patients with high-output end jejunostomies (>3,000 mL/day) who were receiving home hyperalimentation. With knowledge of urine and stoma output, standard total parenteral nutrition fluid was infused and titrated according to individual needs, first during the hospital stay and then on follow-up office visits. Mean daily stoma output for the group was 3,556 mL/day. With oral fluid intake restricted to 1,500 mL/day, average daily stoma output dropped to 2,892 mL. The mean daily volume of nutrient fluid required to achieve stable biochemistries and weight was 3,550 mL. Daily caloric requirements ranged from 23 kcal/kg to 44 kcal/kg, with a mean of 32.5 kcal/kg. Amino acid requirements averaged 1.6 g/kg. With 65 patient months of continuous overnight catheter infusion, there have been no serious metabolic derangements or deaths. The program of home hyperalimentation can maintain a satisfactory metabolic state in patients with high-output jejunostomies.

(Arch Surg 114:838-841, 1979)

Author Affiliations
From the Department of Surgery, The Cleveland Clinic Foundation, Cleveland.

Footnotes
Accepted for publication Jan 12, 1979.

Reprint requests to Department of General Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Steiger).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Jonathan E. Rhoads Lecture: Experiences and Observations in the Management of Patients With Short Bowel Syndrome
Steiger
JPEN J Parenter Enteral Nutr 2007;31:326-333.
ABSTRACT | FULL TEXT  

Invited Review: Home Parenteral Nutrition
Marein et al.
Nutr Clin Pract 1986;1:179-192.
 

Presidential Address: Specialized Nutrition Support: The Standard of Care
Seltzer
JPEN J Parenter Enteral Nutr 1982;6:185-190.
 

Quality of Life in Patients on Permanent Home Parenteral Nutrition
Ladefoged
JPEN J Parenter Enteral Nutr 1981;5:132-137.
ABSTRACT  

Home Parenteral Nutrition
Grundfest and Steiger
JAMA 1980;244:1701-1703.
ABSTRACT