Summary
Provision of artificial nutrition in the home is often necessary and has become a routine part of caring for patients with a variety of disorders. Indications for these therapies in the home do not differ from the hospital. The cost of these life-sustaining therapies, both economic and to quality of life, is substantial. Complications, while less often life-threatening, can be serious and include problems due both to the infusion or instillation of artificial nutrition, and to the techniques required to provide access. Lifespan is most often limited by the patient’s underlying disease and not the nutrition support-related complications, but there are disease-specific considerations in applying these therapies. These issues are reviewed herein.
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References
Scolapio JS. A review of the trends in the use of enteral and parenteral nutrition support. Journal of Clinical Gastroenterology. 38(5):403–407, 2004.
Colomb V. Dabbas M. Goulet O. Talbotec C. Corriol O. Ricour C. Prepubertal growth in children with long-term parenteral nutrition. Hormone Research. 58 Suppl 1:2–6, 2002.
Campo M. Albinana S. Garcia-Burguillo A. Moreno JM. Sanz ML. Pregnancy in a patient with chronic intestinal pseudo-obstruction on long-term parenteral nutrition. Clinical Nutrition. 19(6):455–457, 2000.
Jeppesen PB. Mortensen PB. Intestinal failure defined by measurements of intestinal energy and wet weight absorption. Gut. 46(5):701–706, 2000 May.
Koretz RL. Lipman TO. Klein S. American Gastroenterological Association. AGA technical review on parenteral nutrition. Gastroenterology. 121(4): 970–1001, 2001.
Reddy P. Malone M. Cost and outcome analysis of home parenteral and enteral nutrition. JPEN: Journal of Parenteral & Enteral Nutrition. 22(5):302–310, 1998.
Pironi L. Paganelli F. Mosconi P. Morselli-Labate AM. Spinucci G. Merli C. Guidetti M. Miglioli M. The SF-36 instrument for the follow-up of health-related quality-of-life assessment of patients undergoing home parenteral nutrition for benign disease. Transplantation Proceedings. 36(2):255–258, 2004.
Jeppesen PB. Langholz E. Mortensen PB. Quality of life in patients receiving home parenteral nutrition. Gut. 44(6):844–852, 1999.
Schneider SM. Pouget I. Staccini P. Rampal P. Hebuterne X. Quality of life in long-term home enteral nutrition patients. Clinical Nutrition. 19(1):23–28, 2000.
Roberge C. Tran M. Massoud C. Poiree B. Duval N. Damecour E. Frout D. Malvy D. Joly F. Lebailly P. Henry-Amar M. Quality of life and home enteral tube feeding: a French prospective study in patients with head and neck or oesophageal cancer. British Journal of Cancer. 82(2):263–269, 2000.
Sudan D. DiBaise J. Torres C. Thompson J. Raynor S. Gilroy R. Horslen S. Grant W. Botha J. Langnas A. A multidisciplinary approach to the treatment of intestinal failure. Journal of Gastrointestinal Surgery. 9(2):165–177.
Cortez-Pinto H. Correia AP. Camilo ME. Tavares L. De Moura MC. Long-term management of percutaneous endoscopic gastrostomy by a nutritional support team. Clinical Nutrition. 21(1):27–31, 2002.
Smith CE. Curtas S. Werkowitch M. Kleinbeck SV. Howard L. Home parenteral nutrition: does affiliation with a national support and educational organization improve patient outcomes? JPEN: Journal of Parenteral & Enteral Nutrition. 26(3):159–163, 2002.
Smith CE. Curtas S. Kleinbeck SV. Werkowitch M. Mosier M. Seidner DL. Steiger E. Clinical trial of interactive and videotaped educational interventions reduce infection, reactive depression, and rehospitalizations for sepsis in patients on home parenteral nutrition. JPEN: Journal of Parenteral & Enteral Nutrition. 27(2):137–145, 2003.
Heyman MB. Harmatz P. Acree M. Wilson L. Moskowitz JT. Ferrando S. Folkman S. Economic and psychologic costs for maternal caregivers of gastrostomy-dependent children. Journal of Pediatrics. 145(4):511–516, 2004.
Evans S. Macdonald A. Holden C. Home enteral feeding audit. Journal of Human Nutrition & Dietetics. 17(6):537–542, 2004.
Pironi L. Spinucci G. Paganelli F. Effects of the September 28 2003 blackout in Italy in patients on home parenteral nutrition (HPN). Clinical Nutrition. 23(1):133, 2004.
Howard L. Ament M. Fleming CR. Shike M. Steiger E. Current use and clinical outcome of home parenteral and enteral nutrition therapies in the United States. Gastroenterology. 109(2):355–365, 1995.
Braunschweig CL. Levy P. Sheean PM. Wang X. Enteral compared with parenteral nutrition: a meta-analysis. American Journal of Clinical Nutrition. 74(4):534–542, 2001.
Howard L. Patton L. Dahl RS. Outcome of long-term enteral feeding. Gastrointestinal Endoscopy Clinics of North America. 8(3):705–722, 1998.
Schneider SM. Raina C. Pugliese P. Pouget I. Rampal P. Hebuterne X. Outcome of patients treated with home enteral nutrition. JPEN: Journal of Parenteral & Enteral Nutrition. 25(4):203–209, 2001.
Messing B. Lemann M. Landais P. Gouttebel MC. Gerard-Boncompain M. Saudin F. Vangossum A. Beau P. Guedon C. Barnoud D. et al. Prognosis of patients with nonmalignant chronic intestinal failure receiving long-term home parenteral nutrition. Gastroenterology. 108(4):1005–1010, 1995.
Bakker H. Bozzetti F. Staun M. Leon-Sanz M. Hebuterne X. Pertkiewicz M. Shaffer J. Thul P. Home parenteral nutrition in adults: a European multicentre survey in 1997. ESPEN-Home Artificial Nutrition Working Group. Clinical Nutrition. 18(3):135–140, 1999.
Crosby J. Duerksen D. A retrospective survey of tube-related complications in patients receiving long-term home enteral nutrition. Digestive Diseases & Sciences. 50(9):1712–1717, 2005.
Jeppesen PB. Hoy CE. Mortensen PB. Deficiencies of essential fatty acids, vitamin A and E and changes in plasma lipoproteins in patients with reduced fat absorption or intestinal failure. European Journal of Clinical Nutrition. 54(8):632–642, 2000.
Howard L. Ament M. Fleming CR. Shike M. Steiger E. Current use and clinical outcome of home parenteral and enteral nutrition therapies in the United States. Gastroenterology. 109(2):355–65, 1995 Aug.
Melville CA. Bisset WM. Long S. Milla PJ. Counting the cost: hospital versus home central venous catheter survival. Journal of Hospital Infection. 35(3): 197–205, 1997.
Hurley RS. Campbell SM. Mirtallo JM. Wade VR. Murphy C. Outcomes of cancer and noncancer patients on HPN. Nutrition in Clinical Practice. 5(2): 59–62, 1990.
Buchman AL. Complications of long-term home total parenteral nutrition: their identification, prevention and treatment. Digestive Diseases & Sciences. 46(1): 1–18, 2001.
Duerksen DR. Ting E. Thomson P. McCurdy K. Linscer J. Larsen-Celhar S. Brennenstuhl E. Is there a role for TPN in terminally ill patients with bowel obstruction? Nutrition. 20(9):760–763, 2004.
Cavicchi M. Beau P. Crenn P. Degott C. Messing B. Prevalence of liver disease and contributing factors in patients receiving home parenteral nutrition for permanent intestinal failure. Annals of Internal Medicine. 132(7):525–532, 2000.
Reimund JM. Duclos B. Arondel Y. Baumann R. Persistent inflammation and immune activation contribute to cholestasis in patients receiving home parenteral nutrition. Nutrition. 17(4):300–304, 2001.
McCowen KC. Burke PA. Bistrian BR. Liver disease and home parenteral nutrition. Annals of Internal Medicine. 133(12):1009–1010, 2000.
Luman W. Shaffer JL. Prevalence, outcome and associated factors of deranged liver function tests in patients on home parenteral nutrition. Clinical Nutrition. 21(4):337–343, 2002.
Buchman AL. Ament ME. Sohel M. Dubin M. Jenden DJ. Roch M. Pownall H. Farley W. Awal M. Ahn C. Choline deficiency causes reversible hepatic abnormalities in patients receiving parenteral nutrition: proof of a human choline requirement: a placebo-controlled trial. JPEN: Journal of Parenteral & Enteral Nutrition. 25(5):260–268, 2001.
Richards DM. Deeks JJ. Sheldon TA. Shaffer JL. Home parenteral nutrition: a systematic review. Health Technology Assessment (Winchester, England). 1(1): i–iii, 1–59, 1997.
Terra RM. Plopper C. Waitzberg DL. Cukier C. Santoro S. Martins JR. Song RJ. Gama-Rodrigues J. Remaining small bowel length: association with catheter sepsis in patients receiving home total parenteral nutrition: evidence of bacterial translocation. World Journal of Surgery. 24(12):1537–1541, 2000.
Cano MV. Perz JF. Craig AS. Liu M. Lyon GM. Brandt ME. Lott TJ. Lasker BA. Barrett FF. McNeil MM. Schaffner W. Hajjeh RA. Candidemia in pediatric outpatients receiving home total parenteral nutrition. Medical Mycology. 43(3): 219–225, 2005.
DeLegge MH. Borak G. Moore N. Central venous access in the home parenteral nutrition population–You PICC. JPEN Journal of Parenteral Enteral Nutrition, 29(6):425–428, 2005.
Yusuf SW. Rehman Q. Casscells W. Cardiomyopathy in association with selenium deficiency: a case report. Jpen: Journal of Parenteral & Enteral Nutrition. 26(1):63–66, 2002.
Kapila S. Saba M. Lin CH. Bawle EV. Arginine deficiency-induced hyperammonemia in a home total parenteral nutrition-dependent patient: a case report. JPEN: Journal of Parenteral & Enteral Nutrition. 25(5): 286–288, 2001.
Compher CW. Kinosian BP. Stoner NE. Lentine DC. Buzby GP. Choline and vitamin B12 deficiencies are interrelated in folate-replete long-term total parenteral nutrition patients. JPEN: Journal of Parenteral & Enteral Nutrition. 26(1):57–62, 2002.
Khaodhiar L. Keane-Ellison M. Tawa NE. Thibault A. Burke PA. Bistrian BR. Iron deficiency anemia in patients receiving home total parenteral nutrition. JPEN: Journal of Parenteral & Enteral Nutrition. 26(2):114–119, 2002.
Advenier E. Landry C. Colomb V. Cognon C. Pradeau D. Florent M. Goulet O. Ricour C. Corriol O. Aluminum contamination of parenteral nutrition and aluminum loading in children on long-term parenteral nutrition. Journal of Pediatric Gastroenterology & Nutrition. 36(4): 448–453, 2003.
Bertinet DB. Tinivella M. Balzola FA. de Francesco A. Davini O. Rizzo L. Massarenti P. Leonardi MA. Balzola F. Brain manganese deposition and blood levels in patients undergoing home parenteral nutrition. JPEN: Journal of Parenteral & Enteral Nutrition. 24(4):223–227, 2000.
Pironi L. Labate AM. Pertkiewicz M. Przedlacki J. Tjellesen L. Staun M. De Francesco A. Gallenca P. Guglielmi FW. Van Gossum A. Orlandoni P. Contaldo F. Villares JM. Espen-Home Artificial Nutrition Working Group. Prevalence of bone disease in patients on home parenteral nutrition. Clinical Nutrition. 21(4):289–296, 2002.
Etienney I. Bouhnik Y. Gendre JP. Lemann M. Cosnes J. Matuchansky C. Beaugerie L. Modigliani R. Rambaud JC. Crohn’s disease over 20 years after diagnosis in a referral population. Gastroenterologie Clinique et Biologique. 28(12):1233–1239, 2004.
Hoda D. Jatoi A. Burnes J. Loprinzi C. Kelly D. Should patients with advanced, incurable cancers ever be sent home with total parenteral nutrition? A single institution’s 20-year experience. Cancer. 103(4):863–868, 2005.
Meier DE. Ahronheim JC. Morris J. Baskin-Lyons S. Morrison RS. High short-term mortality in hospitalized patients with advanced dementia: lack of benefit of tube feeding. Archives of Internal Medicine. 161(4):594–599, 2001.
Murphy LM. Lipman TO. Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Archives of Internal Medicine. 163(11): 1351–1353, 2003.
Mitsumoto H. Davidson M. Moore D. Gad N. Brandis M. Ringel S. Rosenfeld J. Shefner JM. Strong MJ. Sufit R. Anderson FA. ALS CARE Study Group. Percutaneous endoscopic gastrostomy (PEG) in patients with ALS and bulbar dysfunction. Amyotrophic Lateral Sclerosis & Other Motor Neuron Disorders. 4(3):177–185, 2003.
Elia M. Stratton RJ. Holden C. Meadows N. Micklewright A. Russell C. Scott D. Thomas A. Shaffer J. Wheatley C. Woods S. Committee of the British Artificial Nutrition Survey (BANS). Home enteral tube feeding following cerebrovascular accident. Clinical Nutrition. 20(1):27–30, 2001.
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Seres, D.S. (2008). Nutrition-Based Home Care. In: Nutrition and Gastrointestinal Disease. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-59745-320-2_13
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DOI: https://doi.org/10.1007/978-1-59745-320-2_13
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