Parenteral nutrition inflammatory bowel

Indications for use of parenteral iron, e.g. as fer-rioxidesaccharate or iron dextran, are in patients on hemodialysis and patients with a disease which prevents absorption from the gastrointestinal tract, in patients who are on long term parenteral nutrition and sometimes in patients with inflammatory bowel disease. Parenteral iron does not raise the hemoglobin level significantly faster than oral therapy and carries a risk of severe adverse reactions. Reactions to intravenous iron include headache, malaise, fever, arthralgias, urticaria and in rare cases anaphylactic reactions, which may be fatal. 

Chicharro M, Guaruer L, VUaseca J, Planas M, Malagelada J. Does cyclosporiu A worseu hver function in patients with inflammatory bowel disease and total parenteral nutrition Rev Esp Enferm Dig 2000 92(2) 68-77. 

Raised concentrations of lithocholate, portal bacteremia, and/or endotoxemia have all been suggested as contributing to hepatic triaditis in patients with inflammatory bowel disease receiving parenteral nutrition. Toxic amino acids or their metabolic products, excessive calorie administration and a disturbed carbohydrate/protein... 

Afonso JJ, Rombeau JL. Parenteral nutrition for patients with inflammatory bowel disease. In Rombeau JL, Caldwell MD, eds. ainical Nutrition Parenteral Nutrition, 2nd ed. Philadelphia, Saunders, 1993 427-441. 

The client with inflammatory bowel disease has been on hyperalimentation, total parenteral nutrition (TPN), for 2 weeks. The health-care provider has written orders to discontinue TPN. Which action should the nurse implement ... 

THE ROLE AND EFFECT OF PARENTERAL NUTRITION ON THE LIVER AND ITS USE IN CHRONIC INFLAMMATORY BOWEL DISEASE IN CHILDHOOD... 

Catheter-related sepsis is the most fire-quent complication in patients receiving home parenteral nutrition for short bowel syndrome. A low-grade systemic inflammatory state and an altered mucosal immune response, as well as diminished intestinal barrier function have been characterized in these patients. The possibility of systemic immunocompromise has only recently been suggested. 

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