Total parenteral nutrition as primary therapy for inflammatory disease of the bowel

Abstract
Of the series of 21 patients with Crohn''s disease who were treated with TPN [total parenteral nutrition] as primary therapy, there were only 4 (19%) who did not eventually need surgical intervention. The mean follow-up period for this group of patients was 27.25 mo. The remaining 14 patients were operated on an average of 9.9 mo. after their course of TPN. Of the 5 patients with mucosal ulcerative colitis who were treated with primary TPN, 3 are now doing well in response to medical therapy after a mean follow-up period of 27.3 mo.

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