Enteral nutrition associated non-occlusive bowel ischemia

Jun-Gyo Gwon; Young-Ju Lee; Kyu-Hyouck Kyoung; Young-Hwan Kim; Suk-Kyung Hong

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저자정보: Jun-Gyo Gwon (University of Ulsan) Young-Ju Lee (University of Ulsan) Kyu-Hyouck Kyoung (Inje University) Young-Hwan Kim (University of Ulsan) Suk-Kyung Hong (University of Ulsan)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.3

발행연도: 2012.9

수록면: 171 - 174 (4page)

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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.

#Enteral nutrition #Acute mesenteric ischemia #Intensive care units #Sepsis

참고문헌 (10)

참고문헌 신청

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