Intravenous feeding of a complete diet in a child: report of a case.

A 5-month-old white infant with Hirschsprung's disease, complicated by a digestive upset and upper respiratory infection, developed a most extreme picture of marasmus which gave every indication of an impending fatal termination. The baby was given a complete intravenous feeding for five days with fats, carbohydrate, and amino acids in proportions and quantities recommended in a normal infant's diet. There was a prompt dramatic improvement in the nutrition, permitting eventual successful treatment of the Hirschsprung's disease with prostigmine. We believe that this is the first case on record of complete feeding by vein alone for a significant period of time. The success in this child suggests strongly that total feedings by vein can be a practical and lifesaving procedure, especially applicable to children who are marasmic, or are for any reason unable to handle an adequate diet by mouth, or in whom it is desirable to withhold oral feedings for therapeutic purposes.