Cargando…
Enteral nutrition associated non-occlusive bowel ischemia
We describe two patients, with no previous history of vascular problems but poor lung function, who experienced septic shock due to bowel ischemia. Both were fed an enteral formula rich in fiber using a feeding tube and experienced septic shock with regular enteral feeding. Surgical finding showed h...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433554/ https://www.ncbi.nlm.nih.gov/pubmed/22977764 http://dx.doi.org/10.4174/jkss.2012.83.3.171 |
_version_ | 1782242335250186240 |
---|---|
author | Gwon, Jun-Gyo Lee, Young-Ju Kyoung, Kyu-Hyouck Kim, Young-Hwan Hong, Suk-Kyung |
author_facet | Gwon, Jun-Gyo Lee, Young-Ju Kyoung, Kyu-Hyouck Kim, Young-Hwan Hong, Suk-Kyung |
author_sort | Gwon, Jun-Gyo |
collection | PubMed |
description | We describe two patients, with no previous history of vascular problems but poor lung function, who experienced septic shock due to bowel ischemia. Both were fed an enteral formula rich in fiber using a feeding tube and experienced septic shock with regular enteral feeding. Surgical finding showed hemorrhagic ischemia in the bowel. The pathologic finding suggests these changes may have been due to inspissations of bowel contents, which may put direct pressure on the mucosa of the bowel wall, leading to local impairment of mucosal and submucosal blood flow with subsequent bowel necrosis. Bowel ischemia may have been precipitated by an increased mesenteric blood flow requirement in combination with a metabolically stressed bowel. Patients in the intensive care unit fed a fiber-rich enteral formula may have inspissated bowel contents, leading to bowel ischemia, suggesting that the use of fiber-rich formula should be limited in patients at high-risk of bowel ischemia. |
format | Online Article Text |
id | pubmed-3433554 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-34335542012-09-13 Enteral nutrition associated non-occlusive bowel ischemia Gwon, Jun-Gyo Lee, Young-Ju Kyoung, Kyu-Hyouck Kim, Young-Hwan Hong, Suk-Kyung J Korean Surg Soc Case Report We describe two patients, with no previous history of vascular problems but poor lung function, who experienced septic shock due to bowel ischemia. Both were fed an enteral formula rich in fiber using a feeding tube and experienced septic shock with regular enteral feeding. Surgical finding showed hemorrhagic ischemia in the bowel. The pathologic finding suggests these changes may have been due to inspissations of bowel contents, which may put direct pressure on the mucosa of the bowel wall, leading to local impairment of mucosal and submucosal blood flow with subsequent bowel necrosis. Bowel ischemia may have been precipitated by an increased mesenteric blood flow requirement in combination with a metabolically stressed bowel. Patients in the intensive care unit fed a fiber-rich enteral formula may have inspissated bowel contents, leading to bowel ischemia, suggesting that the use of fiber-rich formula should be limited in patients at high-risk of bowel ischemia. The Korean Surgical Society 2012-09 2012-08-27 /pmc/articles/PMC3433554/ /pubmed/22977764 http://dx.doi.org/10.4174/jkss.2012.83.3.171 Text en Copyright © 2012, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Gwon, Jun-Gyo Lee, Young-Ju Kyoung, Kyu-Hyouck Kim, Young-Hwan Hong, Suk-Kyung Enteral nutrition associated non-occlusive bowel ischemia |
title | Enteral nutrition associated non-occlusive bowel ischemia |
title_full | Enteral nutrition associated non-occlusive bowel ischemia |
title_fullStr | Enteral nutrition associated non-occlusive bowel ischemia |
title_full_unstemmed | Enteral nutrition associated non-occlusive bowel ischemia |
title_short | Enteral nutrition associated non-occlusive bowel ischemia |
title_sort | enteral nutrition associated non-occlusive bowel ischemia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433554/ https://www.ncbi.nlm.nih.gov/pubmed/22977764 http://dx.doi.org/10.4174/jkss.2012.83.3.171 |
work_keys_str_mv | AT gwonjungyo enteralnutritionassociatednonocclusivebowelischemia AT leeyoungju enteralnutritionassociatednonocclusivebowelischemia AT kyoungkyuhyouck enteralnutritionassociatednonocclusivebowelischemia AT kimyounghwan enteralnutritionassociatednonocclusivebowelischemia AT hongsukkyung enteralnutritionassociatednonocclusivebowelischemia |