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Journal of Parenteral and Enteral Nutrition
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Case Reports

Problems of Trace Elements and Vitamins during Long-Term Total Parenteral Nutrition: A Case Report of Idiopathic Intestinal Pseudo-obstruction

Hiroko Kadowaki, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Minami Ouchi, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Makiko Kaga, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Tomiko Motegi, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Yukishige Yanagawa, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Hiroshi Hayakawa, M.D.

Department of Pediatrics, University of Tokyo, Mejirodai Campus

Gotaro Hashimoto, M.D.

Department of Pediatrics, University of Teikyo

Kiyokazu Furuya, M.D.

Third Department of Surgery, University of Tokyo, Tokyo, Japan

An 8-year-old girl with chronic idiopathic intestinal pseudo-obstruction (CIIP), who is the first case of CIIP in Japan, has been receiving total parenteral nutrition (TPN) for more than 6 years. During this time, she experienced deficiencies of copper, zinc, vitamin A, vitamin B12, folic acid, and biotin, and an excess of vitamin A; she exhibited a series of signs and symptoms due to these deficiencies and vitamin A overdosage. Nevertheless, careful monitoring of serum levels of trace elements and vitamins and appropriate therapy have almost solved these problems. She has achieved normal physical and mental development and goes to school, while receiving home parenteral nutrition with an ambulatory infusion system. (Journal of Parenteral and Enteral Nutrition 11:322-325,1987)

Journal of Parenteral and Enteral Nutrition, Vol. 11, No. 3, 322-325 (1987)
DOI: 10.1177/0148607187011003322
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Home page
 Arch. Dis. Child.Home page
S Heneyke, V V Smith, L Spitz, and P J Milla
Chronic intestinal pseudo-obstruction: treatment and long term follow up of 44 patients
Arch. Dis. Child., July 1, 1999; 81(1): 21 - 27.
[Abstract] [Full Text]