Chronic biochemical cholestasis in patients receiving home parenteral nutrition: prevalence and predisposing factors

Alimentary Pharmacology & Therapeutics
D A J LloydSimon Gabe

Abstract

Chronic biochemical cholestasis has been shown to be associated with a fivefold increase in histologically advanced liver disease in patients receiving home parenteral nutrition. To investigate prevalence of chronic biochemical cholestasis in home parenteral nutrition patients and examine factors influencing its occurrence. Records of all patients receiving home parenteral nutrition for >6 months treated at a single centre were reviewed and plasma biochemistry recorded. Logistic regression analysis was employed to identify factors associated with prevalence of chronic biochemical cholestasis. Records of 113 patients were reviewed. The point prevalence of chronic biochemical cholestasis was 24%, increasing to 28% if patients receiving parenteral fluid and electrolytes only were excluded. In multivariate analysis, presence of colon in continuity was associated with a significantly lower prevalence of chronic biochemical cholestasis, while total parenteral calorie intake was associated with a higher prevalence of chronic biochemical cholestasis. No association was seen between small intestinal lengths or between parenteral lipid intake and chronic biochemical cholestasis in multivariate analysis. Chronic biochemical cholestasis is...Continue Reading

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Citations

Mar 6, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Loris PironiUNKNOWN Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of ESPEN
Jun 5, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Loris PironiUNKNOWN Home Artificial Nutrition and Chronic Intestinal Failure Working Group of ESPEN
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Mar 6, 2009·Current Opinion in Supportive and Palliative Care

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