Home total parenteral nutrition in a pregnant diabetic after jejunoileal bypass for obesity.

Pregnancy after jejunoileal bypass (JIBP) for obesity is generally well tolerated without serious complications. A 24-yr-old diabetic patient who had previously had a JIBP procedure presented during pregnancy with severe malnutrition. She was treated successfully with home total parenteral nutrition. Previously published experience with pregnancy after JIBP and the use of parenteral nutrition during pregnancy is reviewed.