Summary
Of the series of 21 patients with Crohn's disease who were treated with TPN as primary therapy, there were only four (19 per cent) who did not eventually need surgical intervention. The mean follow-up period for this group of patients was 27.25 months. The remaining 14 patients were operated on an average of 9.9 months after their course of TPN.
Of the five patients with mucosal ulcerative colitis who were treated with primary TPN, three are now doing well in response to medical therapy after a mean follow-up period of 27.3 months.
Similar content being viewed by others
References
Dean RE, Campos MM, Barrett B: Hyperalimentation on the management of chronic inflammatory intestinal disease. Dis Colon Rectum 19: 601, 1976
Eisenberg HW, Turnbull RB Jr, Weakley FL: Hyperalimentation as preparation for surgery in transmural colitis (Crohn's disease). Dis Colon Rectum 17: 469, 1974
Fazio VW, Kodner I, Jagleman DG, et al: Inflammatory disease of the bowel: Parenteral nutrition as primary or adjunctive treatment (symposium). Dis Colon Rectum 19: 574, 1976
Reilly J, Ryan JA, Strole W, et al: Hyperalimentation in inflammatory bowel disease. Am J Surg 131: 192, 1976
Vogel CM, Corwin TR, Baue AE: Intravenous hyperalimentation in the treatment of inflammatory diseases of the bowel. Arch Surg 108: 460, 1974
Author information
Authors and Affiliations
Additional information
Read at the meeting of the American Society of Colon and Rectal Surgeons, San Diego, California, June 11 to 15, 1978.
About this article
Cite this article
Harford, F.J., Fazio, V.W. Total parenteral nutrition as primary therapy for inflammatory disease of the bowel. Dis Colon Rectum 21, 555–557 (1978). https://doi.org/10.1007/BF02586394
Issue Date:
DOI: https://doi.org/10.1007/BF02586394