%0 Journal Article
%A Rebollo Román, Ángel
%A de Damas Medina, María
%A Molina Puerta, María José
%A Calañas Continente, Alfonso
%A Manzano García, Gregorio
%T [Nutritional approach in systemic sclerosis: report of a case].
%D 2019
%U http://hdl.handle.net/10668/14756
%X Background: systemic sclerosis is a rare systemic acquired disease with a complex pathogenesis which compromises multiple organs. The nutritional approach to treat patients with this disease is not clearly stablished due to its low prevalence. Case report: we present the case of a 37-year-old woman diagnosed with systemic sclerosis with gastrointestinal compromise, 40% weight loss since diagnosis and severe anemia. Despite oral supplementation, placement of a gastrostomy feeding tube and medical therapy with octreotide, her nutritional requirements are not achieved, so we suggest home parenteral nutrition to complete the nutritional support. Discussion: the severe intestinal affection in this patient made it necessary to turn to the parenteral access because of the oral intolerance secondary to the intestinal pseudo-obstruction. In these cases, the lack of etiological treatment makes home parenteral nutrition play an important role in the nutritional approach.
%K Esclerodermia. Soporte nutricional. Obstrucción intestinal.
%~