Experience with home parenteral nutrition

American Journal of Surgery
B M WolfeK L Cox

Abstract

Twenty-nine patients underwent courses of home parenteral nutrition therapy ranging from 1.5 to 52 months (mean 14.5 months). The primary diagnoses responsible for the requirement of home parenteral nutrition were radiation enteritis in seven patients, short bowel syndrome secondary to resection in seven, Crohn's disease in two, malabsorption states in six, and other reasons in seven. Seventeen patients (57 percent) had at least one complication. Nine patients had intravenous catheter complications and nine had metabolic complications. Nine patients have died, 11 have been successfully weaned from home parenteral nutrition, and 9 continue to receive home parenteral nutrition. Home parenteral nutrition is useful in a variety of catastrophic clinical situations, including preparation for subsequent operative therapy, temporary malabsorption, and permanent disability of the gastrointestinal tract. Complications are frequent and may be life-threatening.

References

Mar 1, 1979·JPEN. Journal of Parenteral and Enteral Nutrition·S J DudrickB V MacFadyen
Apr 1, 1978·Archives of Surgery·G F SheldonR Sanders
Mar 4, 1968·JAMA : the Journal of the American Medical Association·D W Wilmore, S J Dudrick
Oct 1, 1980·Annals of Internal Medicine·L HowardB Wolf
May 1, 1980·American Journal of Surgery·R M BairdC Chan-Yan
Mar 1, 1981·JPEN. Journal of Parenteral and Enteral Nutrition·K Ladefoged
Jul 1, 1981·Archives of Surgery·J E GattiJ L Mullen

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Citations

Aug 21, 2002·Journal of Pediatric Gastroenterology and Nutrition·Kamal O HassanJean de Ville de Goyet
Sep 5, 1992·Lancet·C MatuchanskyJ P Allard
May 1, 1992·Journal of Pediatric Surgery·M BarlasS Yücesan
Jun 1, 1991·Journal of Pediatric Surgery·J S ThompsonL R Schultz
Jul 1, 1984·American Journal of Surgery·J J RoslynL DenBesten
May 1, 1991·Indian Journal of Pediatrics·S SoodV R Minocha
Nov 1, 1984·JPEN. Journal of Parenteral and Enteral Nutrition·J V SeligmanR K Khanna
Jul 1, 1992·The British Journal of Surgery·C L Ingham ClarkR F Wood
Aug 1, 1995·Scandinavian Journal of Gastroenterology·M PakarinenP Kuusanmäki
Jan 1, 1988·Journal of Toxicology and Environmental Health·D J Hoffman, G H Heinz

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