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Intestinal Failure (New York, N.Y.) · 2026

Long-term medical nutrition therapy improves the outcome of an abdominal tuberculosis patient with intestinal failure, severe malnutrition, and high-risk refeeding syndrome: A case report.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Novitasari Dini Diwayani, Kristian Yosua Yan, Nasution Riza Maulana

Аннотация

BACKGROUND: Abdominal tuberculosis (TB) complicated with enterocutaneous fistula (ECF) carries a high mortality rate of up to 20 %, which further increases in the presence of malnutrition. This case report discusses a long-term medical nutrition therapy (MNT) approach in managing a complex case of abdominal TB with intestinal failure in a resource-limited setting.

CASE REPORT: A 19-year-old female presented with a severe case of abdominal TB complicated by multiple high-output ECFs, severe malnutrition, and high-risk refeeding syndrome. Long-term MNT was tailored according to the patient's physiological changes to meet nutritional requirements and support recovery, alongside multiple surgical interventions and hospital admissions.

CONCLUSION: We highlighted the importance of a multidisciplinary approach, including the underemphasized role of long-term MNT, in optimizing clinical outcomes of complicated abdominal TB, particularly within developing countries.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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