A person who is receiving total parenteral nutrition (TPN) is at risk for a disorder of the gallbladder. A person at high risk may benefit from more aggressive management to target risk factors.
Types of gallbladder dysfunction:
(1) acalculous cholecystitis
(2) cholecystitis associated with sludge and/or cholelithiasis
(3) decreased emptying with distention
(1) ileal disease and/or ileal resection
(2) short bowel syndrome
(3) duration of TPN > 3 weeks
(4) no oral intake
(5) prolonged fast
(6) pre-existing gallbladder disease
(7) administration of narcotics or anticholinergic drugs
(1) providing some oral intake
(2) administration of cholecystokinin (CCK) under selected circumstances
(3) avoidance of narcotics and anticholinergic agents
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Purpose: To identify risk factors for gallbladder disease in a patient receiving total parenteral nutrition (TPN).
Specialty: Nutrition, Gastroenterology, Critical Care
Objective: risk factors
ICD-10: K80, K81, K82, K83, K87,