Liver dysfunction associated with long-term total parenteral nutrition in patients with massive bowel resection.

摘要: Sixteen patients with massive bowel resection receiving long-term home total parenteral nutrition (HTPN) for 31 to 145 months were reviewed evidence of liver disease. Patients divided into three groups: group 1 duodenocolostomy (n = 3), 2 an estimated 15-43 cm residual small 7), and 3 55-120 6). Two in developed cirrhosis; one was diabetic died sepsis failure at the 88th month on HTPN; other lung cancer 46th HTPN. The third patient, followed 33 months, had transient severe function abnormalities associated a blood transfusion. In groups 3, only patient (with history probable disease before HTPN) biopsy-proven cirrhosis 60th All four clinically apparent persistent elevation serum aspartate aminotransferase (AST) early Four patient...