Indication

TPN-associated Cholestasis

TPN-associated cholestasis is an iatrogenic hepatobiliary complication characterized by impaired bile formation and secretion resulting from prolonged total parenteral nutrition. Read more about TPN-associated Cholestasis

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About TPN-associated Cholestasis.

TPN-associated cholestasis is an iatrogenic hepatobiliary complication characterized by impaired bile formation and secretion resulting from prolonged total parenteral nutrition.

It most commonly affects premature infants and neonates with gastrointestinal failure, though it can also occur in children and adults on extended intravenous nutritional support.

Pathophysiologically, the condition is driven by multifactorial mechanisms, including the absence of enteral stimulation, disruption of enterohepatic bile circulation, and intravenous lipid or phytosterol toxicity.

Clinically, it is defined by conjugated hyperbilirubinemia, elevated serum alkaline phosphatase, and progressive histological features that may advance from portal inflammation and intracanalicular cholestasis to hepatic fibrosis and cirrhosis.

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