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Re: Ileus - my 2 cents

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While this is a bit delayed, I wanted to comment that Dr. Bridwell

( Jewish in St. Louis) keeps his patients on TPN (IV or total

parenteral nutrition) for quite awhile. I was on it for 11 days the

first round (my second surgery was scheduled to be anterior and I do

believe this is why they left me on the TPN) and had nothing but ice

chips. I didn't get hungry until about day nine. After the anterior

surgery, I was on TPN again for five days, I believe. I was switched

to real food the day before I left the hospital (jello the day before

that). After following revision patients for the past year and a

half, I have noted that those that begin eating right after surgery

experience nausea far more frequently than those who don't. I don't

know what the drawbacks to TPN are, if any, but it does seem odd to

me that it is not standard procedure after revision surgery. I don't

understand why everyone that doesn't have scarring issues doesn't get

a central line (a.k.a. port or IV cathetar) either. I've heard too

many horror stories about collapsed blown out veins.

In my opinion, it is worth discussing both the option of a central

line AND TPN with you surgeon before revision surgery. Additionally,

I highly recommend going into surgery with your colon " cleaned out "

(far enough in advance to avoid potential problems) so that you don't

have to suffer unnecessarily afterwards.

kam

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