{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:10:42Z","timestamp":1791918642635,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1993,4,1]],"date-time":"1993-04-01T00:00:00Z","timestamp":733622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[1993,4]]},"abstract":"<jats:p>Vascular catastrophe resulting in a bowel infarction requiring massive resection is one of the most common indications for long\u2010term total parenteral nutrition (TPN). The causes of mesenteric artery disease include embolic and thrombotic occlusions, nonocclusive mesenteric ischemia, and chronic mesenteric ischemia. This paper describes a case of a patient with chronic ischemia. The indication for TPN was intestinal angina limiting oral intake, not short\u2010bowel syndrome as a result of bowel infarction and surgery. The patient had an extensive history of atherosclerotic disease and abdominal symptoms. Her nutritional status was maintained with TPN and oral intake as symptomatically tolerated. She eventually developed catheter sepsis. Her cardiopulmonary status deteriorated and she died. Progressive mesenteric ischemia and possible infarction may have contributed to her death. The patient had indicated she did not want surgery for a bowel infarction. She did consent to surgical correction of her disease, if feasible. Although TPN can maintain the nutritional and metabolic status of a patient with chronic mesenteric ischemia, the associated risk of catheter sepsis emphasizes the necessity for expedient treatment of the primary pathology.<\/jats:p>","DOI":"10.1177\/011542659300800273","type":"journal-article","created":{"date-parts":[[2008,5,14]],"date-time":"2008-05-14T19:23:41Z","timestamp":1210793021000},"page":"73-77","source":"Crossref","is-referenced-by-count":11,"title":["Parenteral Nutrition Support of a Patient With Chronic Mesenteric Artery Occlusive Disease"],"prefix":"10.1002","volume":"8","author":[{"given":"Charles","family":"Mueller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Borriello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Perlov\u2010Antzis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1993,4]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607186010005441"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01536322"},{"key":"e_1_2_1_4_1","first-page":"3","volume-title":"Total Parenteral Nutrition","author":"Sax HC","year":"1991"},{"key":"e_1_2_1_5_1","volume-title":"Home Nutrition Support Patient Registry Annual Report, 1989 Data","author":"Oasis","year":"1991"},{"key":"e_1_2_1_6_1","first-page":"535","article-title":"Mesenteric artery occlusive disease","volume":"9","author":"Moore WM","year":"1991","journal-title":"Cardiovasc Clin"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)30731-3"},{"key":"e_1_2_1_8_1","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/0741-5214(86)90109-6","article-title":"Measurement of mesenteric blood flow by duplex scanning","volume":"3","author":"Jager K.","year":"1986","journal-title":"J Vasc Surg"},{"key":"e_1_2_1_9_1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/0741-5214(86)90117-5","article-title":"Use of hemodynamic parameters in the diagnosis of mesenteric insufficiency","volume":"3","author":"Nicholls SC","year":"1986","journal-title":"J Vasc Surg"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02001366"},{"key":"e_1_2_1_11_1","first-page":"888","article-title":"A new provocative test for chronic mesenteric ischemia","volume":"86","author":"Boley SJ","year":"1991","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_1_12_1","first-page":"21","article-title":"The use of tonometry in the early diagnosis of mesenteric ischemia","volume":"44","author":"Poole JW","year":"1987","journal-title":"Curr Surg"},{"key":"e_1_2_1_13_1","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/0741-5214(86)90045-5","article-title":"Durability of endarterectomy and antegrade grafts in the treatment of chronic visceral ischemia","volume":"3","author":"Rapp JH","year":"1986","journal-title":"J Vasc Surg"},{"key":"e_1_2_1_14_1","first-page":"177","article-title":"Acute massive ischemic bowel injury: Another application for home TPN and a reappraisal","volume":"46","author":"Gallagher JJ","year":"1982","journal-title":"Conn Med"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607191015004384"},{"key":"e_1_2_1_16_1","first-page":"191","article-title":"Prognostic factors in extensive mesenteric ischaemia","volume":"70","author":"Gorey TF","year":"1988","journal-title":"Ann Royal Coll Surg Eng"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/011542659300800273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:43:12Z","timestamp":1760964192000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/011542659300800273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1993,4]]}},"alternative-id":["10.1177\/011542659300800273"],"URL":"https:\/\/doi.org\/10.1177\/011542659300800273","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,4]]}}}