Use of total parenteral nutrition in the refeeding of selected patients with severe anorexia nervosa
Article first published online: 29 JAN 2007
Copyright © 2007 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 40, Issue 3, pages 285–287, April 2007
How to Cite
Mehler, P. S. and Weiner, K. L. (2007), Use of total parenteral nutrition in the refeeding of selected patients with severe anorexia nervosa. Int. J. Eat. Disord., 40: 285–287. doi: 10.1002/eat.20371
- Issue published online: 23 FEB 2007
- Article first published online: 29 JAN 2007
- Manuscript Accepted: 11 DEC 2006
- SMA syndrome;
- gastrointestinal tract;
At present there is no consensus on how to refeed patients with severe anorexia nervosa. In these case reports, we describe two patients beset with gastrointestinal comorbidities which impaired their ability to refeed with a staged oral feeding program. The use of total parenteral nutrition (TPN) facilitated their recovery.
We present two cases of severe anorexia nervosa, complicated by comorbid gastrointestinal disorders, which precluded them from successful refeeding using oral food calories. The treatment with TPN consisted of using a surgically placed, indwelling tunneled catheter to deliver progressively increased amounts of intravenous calories. This facilitated successful weight restoration.
Although most patients with anorexia nervosa should be refed with a dietary program which is based on progressive increases in oral calories, TPN should be judiciously considered for patients with severe anorexia nervosa who also have medical comorbidities which preclude the usage of this standard approach. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2007