Home Enteral Tube Feeding with a Liquid Diet in the Long Term Management of Inflammatory Bowel Disease and Intestinal Failure

A 35-year-old man, who had spent 10 out of 18 months in hospital, has required repeated courses of intravenous nutrition (IVN) because of nutritional failure due to severe inflammatory bowel disease. He has been maintained on a nocturnal pump-fed liquid diet supplementing his day-time oral diet jar five months, four of which have been at home. The cost of such therapy is less than with an elemental diet and there are other advantages. This regime has been shown to be nutritionally adequate. The need to assess other cheaper liquid diets in patients with intestinal failure is recognised.

[1]  R. Russell,et al.  Elemental Diet Therapy in the Management of Complicated Crohn's Disease , 1979, Scottish medical journal.

[2]  K. Ladefoged,et al.  Long-term parenteral nutrition , 1978, British medical journal.

[3]  R. Russell,et al.  Use of an elemental diet (Vivonex) in the management of bile acid-induced diarrhoea. , 1977, Gut.

[4]  C. Axelsson,et al.  Elemental diet in gastrointestinal diseases: experience from a case material of 59 patients. , 1977, Infusionstherapie und klinische Ernahrung.

[5]  B. Scribner,et al.  Treatment of Crohn's disease with home parenteral nutrition. , 1977, Gastroenterology.

[6]  R. Chu,et al.  Total parenteral nutrition at home: studies in patients surviving 4 months to 5 years. , 1976, Gastroenterology.

[7]  M. Scheflan,et al.  Intestinal adaptation after extensive resection of the small intestine and prolonged administration of parenteral nutrition. , 1976, Surgery, gynecology & obstetrics.

[8]  E. Weser The Management of Patients after Small Bowel Resection , 1976 .

[9]  J. Fischer,et al.  Hyperalimentation in inflammatory bowel disease. , 1976, American journal of surgery.

[10]  A. Goode,et al.  USE OF AN ELEMENTAL DIET FOR LONG-TERM NUTRITIONAL SUPPORT IN CROHN'S DISEASE , 1976, The Lancet.

[11]  F. Weakley,et al.  Hyperalimentation as preparation for surgery in transmural colitis (Crohn's disease) , 1974, Diseases of the colon and rectum.

[12]  K. F. Haas,et al.  Use of chemically defined diets in the management of patients with acute inflammatory bowel disease. , 1974, American journal of surgery.

[13]  V. Echavé,et al.  Experience with elemental diet in the treatment of inflammatory bowel disease. Is this primary therapy? , 1973, Archives of surgery.

[14]  H. Randall,et al.  Use of a Concentrated, Balanced, Liquid Elemental Diet for Nutritional Management of Gatabolic States , 1969, Annals of surgery.

[15]  H. Dudley,et al.  Design of Tube Feeds for Surgical Patients , 1963, British medical journal.

[16]  I. Rosenberg,et al.  Total parenteral nutrition in inflammatory bowel disease. , 1978, The Medical clinics of North America.

[17]  Hoffmeister Ja,et al.  Continuous control pump-tube feeding of the malnourished patient with Isocal. , 1977 .

[18]  R. Dobbie,et al.  Continuous pump-tube enteric hyperalimentation. , 1976, Surgery, gynecology & obstetrics.