ArticleIntestinal Failure (New York, N.Y.)
Successful parenteral nutrition weaning using a chyme re-infusion device: Case reports.
Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Chyme reinfusion involves returning chyme (partially digested food) collected in an ostomy appliance from the proximal limb of a fistula or stoma back into the distal limb. With development of a chyme reinfusion device the process can now be undertaken without manual manipulation. Case report: Two case reports are presented showing how successful chyme re-infusion can eliminate the need for parenteral nutrition, a cornerstone in the treatment of intestinal failure. The practical steps taken in the weaning process are described. Conclusion: Chyme reinfusion can be a realistic alternative to parenteral nutrition in enthusiastic individuals supported by an experienced intestinal failure dietitian and multi-disciplinary team. Positive feedback from patients in these case reports include: coming off parenteral nutrition using the pump was life changing and absolutely amazing; overall the process was very straightforward after initial issues were resolved. Notable improvements in liver function tests are also demonstrated.
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