Elevated Transaminases Associated with an Elemental Diet
Authors: THOMAS M. ZARCHY
Journal: Annals of Internal Medicine (1978)

Brief Reports1 August 1978Elevated Transaminases Associated with an Elemental DietTHOMAS M. ZARCHY, M.D., TIMOTHY O. LIPMAN, M.D., JAMES D. FINKELSTEIN, M.D.THOMAS M. ZARCHY, M.D.Search for more papers by this author, TIMOTHY O. LIPMAN, M.D.Search for more papers by this author, JAMES D. FINKELSTEIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-89-2-221 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHepatotoxicity has been reported in patients receiving total parenteral nutrition (1) but not in adults on enteral diets. We report the case of a patient who developed elevated liver enzymes on a high-nitrogen chemically defined diet, Vivonex-HN® (Eaton Laboratories, Norwich, New York).A 56-year-old black man was admitted to our hospital for hypotension and cachexia. Two years earlier at another hospital he had been diagnosed as having the Zollinger-Ellison syndrome and had undergone a total gastrectomy with an esophagojejunostomy and Roux-en-Y. Eighteen months later, an unspecified length of jejunum was resected because of small intestinal obstruction. After the second operation,...References1. MAINIBLACKBURNBISTRIANFLATTPAGEBOTHEBENOTTIRIENHOFF BGBJTAPB: Cyclic hyperalimentation: an optimal technique for preservation of visceral protein. J Surg Res 20:515-525, 1976 CrossrefMedlineGoogle Scholar2. SHERMANHAMLYKHACHADURIAN JCA: Use of an oral elemental diet in infants with severe intractable diarrhea. J Pediatr 86:518-523, 1975 CrossrefMedlineGoogle Scholar3. GARNICA A: The hepatotoxicity of parenteral protein hydrolysate-containing solutions. Ann Clin Lab Sci 6:446-454, 1976 MedlineGoogle Scholar4. MCLEAN A: Serum-enzymes during recovery from malnutrition. Lancet 2:1294-1295, 1962 CrossrefMedlineGoogle Scholar5. DASWATERLOW TJ: The rate of adaptation of urea cycle enzymes, aminotransferases and glutamic dehydrogenase to changes in dietary protein intake. Br J Nutr 32:353-373, 1974 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Hospital Washington, D.C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrescription for Enteral NutritionAmerican gastroenterological association technical review on tube feeding for enteral nutritionA Geriatrician's Guide to Enteral FeedingEnteral nutrition and liver function test abnormalitiesComplications of enteral nutrition.Diet-induced changes in serum transaminase and triglyceride levels in healthy adult menSynthetische Diäten und SondenernährungTotal parenteral nutrition solution increases bile lithogenicity in ratElemental diets—Facts and fantasies 1 August 1978Volume 89, Issue 2Page: 221-222KeywordsAminotransferasesDietEnzymesGastrectomyHypotensionJejunumLiverTotal parenteral nutritionZollinger Ellison syndrome Issue Published: 1 August 1978 PDF downloadLoading ...