“…Profound changes occur in the gut mucosa during ileus, fasting, and starvation (Brown et al, 1960;Eastwood, 1977;Galluser et al, 1991;Goodlad et al, 1988;Gorostiza et al, Steiner et al, 1968) in parallel with complex alterations in gut motility (Telford et al, 1993). Animal and clinical studies have demonstrated that such changes are only partially reversed by parenteral nutrition (Inoue et al, 19931, while one investigator has reported the reversal of atrophic changes in defunctionalized small intestinal loops after luminal perfusion with water (Clarke, 1976).…”