A difficult abdominal case

[rm khattar]

Although we did consider closing abdomen without resection,but ended up doing resection of entire SB,Right colon,doing a end jejunostomy,and closing the end of transverse colon and leaving it in the abdomen,he rapidly recovered with normalization of renal and hepatic parameters, and resumption of oral liquids,and movement of jejunostomy.He was put on TPN.The probable cause is SMA thrombosis.
Dr Timothy,Where on earth life long home TPN is available and how much one can live on such treatment ?  


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