PT  - JOURNAL ARTICLE
AU  - Tahlia Melville
AU  - Katie Vardy
AU  - Lucy Milliner
AU  - Rebecca Angus
TI  - Intradialytic parenteral nutrition improves nutritional status in a complex cystic fibrosis patient with redo double lung transplant and end-stage renal disease
AID  - 10.1136/bcr-2019-233346
DP  - 2020 Mar 01
TA  - BMJ Case Reports
PG  - e233346
VI  - 13
IP  - 3
4099  - http://casereports.bmj.com/content/13/3/e233346.short
4100  - http://casereports.bmj.com/content/13/3/e233346.full
SO  - BMJ Case Reports2020 Mar 01; 13
AB  - This case study reports on the use of intradialytic parenteral nutrition (IDPN) to address severe malnutrition in a 38-year-old woman, redo double lung transplant recipient with a complex medical history including cystic fibrosis and end-stage renal disease (ESRD) on haemodialysis. Gastroparesis and severe postprandial abdominal pain limited oral/enteral nutrition input. The addition of IDPN resulted in a dry weight increase of 13.6% over a 12-month period and an improvement in the patient’s malnutrition status from severe (Patient-Generated Subjective Global Assessment (PG SGA) C24) to moderate (PG SGA B7). The patient stated she would recommend IDPN to others in a similar situation. Management of patients with coexisting cystic fibrosis and ESRD with or without haemodialysis requires patient engagement in treatment planning and a multidisciplinary team approach for clinical judgement in the absence of guidelines. As advances in medical care see more patients with these coexisting conditions, IDPN may provide an increasingly useful adjunct therapy.