Patients with intestinal failure are at risk for malnutrition and its associated adverse
consequences. In many of these patients it is not possible to feed via the gastrointestinal
tract, and nutrients must be provided directly into the bloodstream. For some patients
with irreversible intestinal failure, this is a lifelong requirement. Parenteral nutrient
solutions may be tailored specifically to individual requirements and are usually
administered directly into a central vein using an indwelling catheter. Serious complications
related to both the indwelling catheter and metabolic consequences of the nutritional
support may occur. A team approach to the provision and monitoring of parenteral nutrition
in intestinal failure produces the best results.
KEYWORDS
Intestinal failure - parenteral nutrition - nutrient solutions - complications
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Dr.
Timothy E Bowling
Clinical Nutrition Unit, Queen's Medical Centre
Nottingham NG7 2UH, United Kingdom
Email: tim.bowling@mail.qmcuh-tr.trent.nhs.uk