Abstract
Total parenteral nutrition (TPN) is usually applied for severe short bowel syndrome. Nutritional support is different among patients according to the length of the residual intestine. A 45-year old man underwent a massive intestinal resection at a local hospital due to thrombosis of the superior mesenteric artery and was referred to our hospital. The residual intestine was 27cm. The patient could feed by mouth, but his nutritional index deteriorated following reduction of parenteral nutrition. Following a nutritional assessment, the patient was placed on cyclic TPN which he tolerated well, and was able to return to normal social life.