Withholding parenteral nutrition during critical illness increases plasma bilirubin but lowers the incidence of biliary sludge
Yoo‐Mee Vanwijngaerden, Lies Langouche, Richard Brunner, Yves Debaveye, Marijke Gielen, Michael Casaer, Christopher Liddle, Sally Coulter, Pieter J. Wouters, Alexander Wilmer, Greet Berghe, Dieter Mesotten – 9 November 2013 – Cholestatic liver dysfunction (CLD) and biliary sludge often occur during critical illness and are allegedly aggravated by parenteral nutrition (PN). Delaying initiation of PN beyond day 7 in the intensive care unit (ICU) (late PN) accelerated recovery as compared with early initiation of PN (early PN).