Partial peritoneal alimentation in an infant.
Publication/Presentation Date
1-1-1988
Abstract
We provided partial peritoneal alimentation to a 1.69-kg 11-month-old premature infant who had no available central venous access, depleted peripheral venous access, and gastrointestinal dysfunction. A cuffed silastic catheter was surgically inserted into the suprahepatic space. An alimentation solution was continuously infused into the peritoneum for 28 days to supplement peripheral venous and nasogastric alimentation and contributed 42 +/- 15% of total calories daily. Weight gain was achieved, but complications included hypoglycemia, hypophosphatemia, intravascular dehydration, catheter site leakage, ascites, and hydrocele. At autopsy 11 months later, lipid accumulation was present in the upper peritoneum and the hilar regions of the lungs secondary to preexisting lymphatic obstruction. Partial peritoneal alimentation may be feasible when other access routes are inadequate, but lymphatic obstruction is a contraindication to the peritoneal administration of lipid emulsions.
Volume
12
Issue
6
First Page
621
Last Page
625
ISSN
0148-6071
Published In/Presented At
Merritt, R. J., Atkinson, J. B., Whalen, T. V., Thomas, D. W., Sinatra, F. R., & Roloson, G. J. (1988). Partial peritoneal alimentation in an infant. JPEN. Journal of parenteral and enteral nutrition, 12(6), 621–625. https://doi.org/10.1177/0148607188012006621
Disciplines
Medicine and Health Sciences
PubMedID
3148046
Department(s)
Department of Surgery
Document Type
Article