Home parenteral nutrition: A review of 100 patient years of treatment in 76 consecutive cases

Author:

Stokes M A1,Almond D J1,Pettit S H1,Mughal M M1,Turner M2,Shaffer J L3,Irving M H1

Affiliation:

1. Department of Surgery, Pharmacy, Hope Hospital (University of Manchester School of Medicine), Eccles Old Road, Salford M6 8HD, UK

2. Department of Medicine, Pharmacy, Hope Hospital (University of Manchester School of Medicine), Eccles Old Road, Salford M6 8HD, UK

3. Department of Pharmacy, Hope Hospital (University of Manchester School of Medicine), Eccles Old Road, Salford M6 8HD, UK

Abstract

Abstract Over the last 10 years, the Nutrition Unit at Hope Hospital has trained and looked after 76 patients on home parenteral nutrition for a total of 100 patient years. Although 40 per cent of patients have required home parenteral nutrition for 6 months or less one patient has been on treatment for 7 years. The quality of life measured on a 4 point scale was good for the majority of patients. Sepsis and superior vena caval thrombosis are the main problems encountered. Overall mortality rate was 18 per cent and the sepsis rate was 0·14 episodes per patient per year. Home parenteral nutrition is an effective and safe treatment of intestinal failure.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference11 articles.

1. Three years' experience with an intestinal failure unit;Irving;Ann R Coll Surg Engl,1985

2. Total parenteral nutrition at home: studies in patients surviving 4 months to 5 years;Jeejeebhoy;Gastroenterology,1976

3. Long term parenteral nutrition;Ladefoged;Br Med J,1978

4. Long-term total parenteral nutrition. The concept of the artificial gut;Scribner;J Am Med Assoc,1970

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