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April 1974

Intravenous Hyperalimentation: In the Treatment of Inflammatory Diseases of the Bowel

Author Affiliations

St. Louis
From the Department of Surgery, Washington University School of Medicine and the Jewish Hospital of St. Louis, St. Louis.

Arch Surg. 1974;108(4):460-467. doi:10.1001/archsurg.1974.01350280066012

Fifteen patients with regional enteritis (14) or ulcerative colitis (one) who were refractory to medical management were treated by bowel rest and intravenous hyperalimentation (IVH). Nine received IVH as primary therapy and all had remissions. Four have done well for four months to three years. Four had recurrences and one died later. Six patients received IVH before planned operations for localized disease. Five had no recurrences for six months to three years and one did not tolerate IVH. The role of IVH for inflammatory bowel disease can be both in preparation for operation and as primary therapy for acute episodes. We reserve IVH as primary therapy for patients with previous resections or extensive disease. It has provided prolonged remissions in some and prevented further operations in most. However, the long-term course of the disease was not altered.

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