Ursodeoxycholic acid for the treatment of home parenteral nutrition-associated cholestasis. A case report.

Abstract:

:Severe cholestasis associated with long-term home parenteral nutrition is rare, and no treatment is known to be effective. This study shows a case of a patient who developed jaundice while receiving long-term home parenteral nutrition. Causes of jaundice, other than the patient's parenteral feedings, were excluded. The patient's jaundice did not respond to alterations in his parenteral feeding program or to metronidazole. Ursodeoxycholic acid (600 mg/day) led to a prompt and sustained improvement in his hyperbilirubinemia. When ursodeoxycholic acid was stopped, the patient again became jaundiced, but this resolved with reinstitution of ursodeoxycholic acid. This case suggests that ursodeoxycholic acid may be an effective treatment for home parenteral nutrition--associated cholestasis and should be evaluated further in patients with cholestasis associated with parenteral feeding.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Lindor KD,Burnes J

doi

10.1016/0016-5085(91)90486-5

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

250-3

issue

1

eissn

0016-5085

issn

1528-0012

pii

0016-5085(91)90486-5

journal_volume

101

pub_type

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