A Case Report of Vitamin B1 Deficiency Showing Severe Clinical State That Occurred During Total Parenteral Nutrition after Jejunal Cancer Procedure.
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We experienced a case of marked metabolic acidosis as a severe clinical state during total parenteral nutrition after jejunal cancer procedure. Vitamin B<SUB>1</SUB> deficiency seemed to be the cause of the acidosis because a bolus injection of vitamin B<SUB>1</SUB> improved the clinical condition of the patient with prompt improvement in the base excess. Overconsumption of vitamin B<SUB>1</SUB> by intravenous carbohydrates is considered to, be the mechanism of metabolic acidosis during total parenteral nutrition. Most case reports revealed latent vitamin B<SUB>1</SUB> deficiency conditions such as malignant disease, chemotherapy or irradiation in addition to no administration of vitamins. We concluded that supplementation of vitamin B<SUB>1</SUB> should be recommended during TPN after surgery.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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