Long-term medical nutrition therapy improves the outcome of an abdominal tuberculosis patient with intestinal failure, severe malnutrition, and high-risk refeeding syndrome: A case report.

Intestinal Failure (New York, N.Y.) Pub Date : 2026-01-31 eCollection Date: 2026-01-01 DOI:10.1016/j.intf.2026.100354

Dini Diwayani Novitasari, Yosua Yan Kristian, Riza Maulana Nasution

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Abstract

Background: Abdominal tuberculosis (TB) complicated with enterocutaneous fistula (ECF) carries a high mortality rate of up to 20 %, which further increases in the presence of malnutrition. This case report discusses a long-term medical nutrition therapy (MNT) approach in managing a complex case of abdominal TB with intestinal failure in a resource-limited setting.

Case report: A 19-year-old female presented with a severe case of abdominal TB complicated by multiple high-output ECFs, severe malnutrition, and high-risk refeeding syndrome. Long-term MNT was tailored according to the patient's physiological changes to meet nutritional requirements and support recovery, alongside multiple surgical interventions and hospital admissions.

Conclusion: We highlighted the importance of a multidisciplinary approach, including the underemphasized role of long-term MNT, in optimizing clinical outcomes of complicated abdominal TB, particularly within developing countries.

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长期医学营养治疗改善了一例伴有肠衰竭、严重营养不良和高危再喂养综合征的腹结核患者的预后。

背景：腹部结核（TB）合并肠表皮瘘（ECF）的死亡率高达20% %，在营养不良的情况下进一步增加。本病例报告讨论了在资源有限的情况下，长期医学营养治疗（MNT）方法在处理复杂的腹部结核伴肠衰竭病例。病例报告：一名19岁女性，出现了严重的腹部结核病例，并发多个高输出量ECFs，严重营养不良和高危再喂养综合征。长期MNT根据患者的生理变化量身定制，以满足营养需求并支持康复，同时进行多次手术干预和住院治疗。结论：我们强调了多学科方法的重要性，包括长期MNT在优化复杂性腹部结核病临床结果中的作用，特别是在发展中国家。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Intestinal Failure (New York, N.Y.)

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