Abstract
Total parenteral nutrition (TPN), as proposed in 1968 in clinical practice by Dudrick et al. [8], is considered one of the most useful modalities of support and/or treatment of several medical and surgical diseases. It has been stated that TPN should be started when oral alimentation is impossible, ill-advised, debatable, or hazardous. The patients who could profit from TPN can be subdivided in three groups: [1] patients with lesions of the continuity and/or function of the gastrointestinal tract; [2] patients with increased caloric or protein requirements (burns, sepsis, multiple trauma); [3] patients with different types of lesions which compromise their nutritional status. In some of these patients nutritional support can also be achieved with partial parenteral nutrition (PPN) or enteral nutrition (EN). In the Institute of Patologia Chirurgica of the University of Pavia, TPN was administered in 389 patients (August 1970–July 1979) — in 355 as nutritional support and in 34 (9.5%) as primary therapy. Indications for TPN are summarized in Table 1, where it is shown that 23 patients received TPN for pancreatic diseases.
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© 1981 Springer-Verlag Berlin Heidelberg
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Dionigi, R., Prati, U., Tibaldeschi, C., Dominioni, L. (1981). The Role of Total Parental Nutrition in the Treatment of Pancreatic Diseases. In: Scuro, L.A., Dagradi, A., Marzoli, G.P., Pederzoli, P., Cavallini, G., Banterle, C. (eds) Topics in Acute and Chronic Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67879-0_9
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DOI: https://doi.org/10.1007/978-3-642-67879-0_9
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