Skip to main content

Home Parenteral Nutrition

  • Chapter
  • First Online:
Nutrition in Infancy

Abstract

Parenteral nutrition (PN) involves the administration of fluids and nutrients using routes other than the gut, although usually involves central venous catheters (CVC). Home PN (HPN) refers to instances where this nutritional support is administered in the patient's home. Although this form of treatment is expensive and complex, it facilitates patients’ social rehabilitation, returning them to their home environment, reducing healthcare costs, and improving quality of life (QoL). Pediatric patients present specific technical characteristics, as not only should a proper nutritional status be maintained, but also optimal growth and development.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

CVC:

Central venous catheter

ESPEN:

European Society for Clinical Nutrition and Metabolism

HPN:

Home parenteral nutrition

IT:

Intestinal transplantation

PNALD:

PN-associated Liver Disease

PN:

Parenteral nutrition

QoL:

Quality of life

SBS:

Short bowel syndrome

References

  1. Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE. Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult? An affirmative answer. Ann Surg. 1969;169:974–84.

    Article  PubMed  CAS  Google Scholar 

  2. Shils ME, Wright LM, Turnbull A, Brescia F. Long-term parenteral nutrition through an external arteriovenous shunt. N Engl J Med. 1970;283:324–44.

    Article  Google Scholar 

  3. Elia M. History of parenteral nutrition. In: Bozzetti F, Staun M, van Gossum A, editors. Home parenteral nutrition. Oxon, United Kingdom: Cabi; 2006. p. 1–11.

    Google Scholar 

  4. Shils ME. The advent of home parenteral nutrition support. Annu Rev Nutr. 2010;30:1–12.

    Article  PubMed  CAS  Google Scholar 

  5. Van Gossum A, Bakker H, De Francesco A, et al. Home parenteral nutrition in adults: a multicentre survey in Europe in 1993. ESPEN-Home Artficial Nutrition Working Group. Clin Nutr. 1996;15:53–8.

    Article  PubMed  Google Scholar 

  6. Van Gossum A, Bakker H, Bozzetti F, et al. Home parenteral nutrition in adults: a European multicentre survey in 1997. ESPEN-home artificial nutrition working group. Clin Nutr. 1999;18:135–40.

    Article  Google Scholar 

  7. Staun M, Moreno JM; Bozzetti F, et al. Home parenteral nutrition in adults: a European survey in 2003. Clin Nutr 2004;23(4):916(A326).

    Google Scholar 

  8. Van Gossum A, Colomb V, Hebuterne X, et al. Home parenteral nutrition (HPN) in children. A multicentre survey in Europe in 1997. Clin Nutr. 1998;17 Suppl 1:49.

    Google Scholar 

  9. Beath SV, Gowen H, Puntis JWL. Trends in paediatric home parenteral nutrition and implications for service development. Clin Nutr. 2011;30:499–502.

    Article  PubMed  CAS  Google Scholar 

  10. Juana-Roa J, Wanden-Berghe C, Sanz Valero J. The reality of home-based parenteral nutrition. Nutr Hosp. 2011;26:364–8.

    PubMed  CAS  Google Scholar 

  11. Castelló-Botía I, Wanden-Berghe C, Sanz Valero J. Artificial nutrition support registries: systematic review. Nutr Hosp. 2009;24:711–6.

    PubMed  Google Scholar 

  12. Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R. Guidelines on Paediatric Parenteral Nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Paediatric Research (ESPR). J Pediatr Gastroenterol Nutr. 2005;41 Suppl 2:S1–87.

    Article  PubMed  Google Scholar 

  13. Lyszkowska M, Moreno JM, Colomb V, et al. Experience in home parenteral nutrition in children from 15 European centers. Clin Nutr. 2004;23 Suppl 4:907.

    Google Scholar 

  14. Colomb V, Talbotec C, Goulet O, Corriol O, Lamor M, Ricour C. Outcome in children on long-term (home) parenteral nutrition: a 20-year experience. Clin Nutr. 2003;22:73–4.

    Article  Google Scholar 

  15. A.S.P.E.N. Board of Directors and the Standards for Specialized Nutrition Support Task Force, Kovacevich DS, Frederick A, Kelly D, Nishikawa RA, Young L. Standards for specialized nutrition support: home care patients. Nutr Clin Pract. 2005;20:579–790.

    Article  PubMed  Google Scholar 

  16. Pedrón Giner C, Martínez Costa C, Gómez López L, et al. Home parenteral nutrition in children: procedures, experiences and reflections. Nutr Hosp. 2010;25:705–11.

    PubMed  Google Scholar 

  17. Kerner JA, Hurwitz MH. Parenteral nutrition. In: Duggan CD, Watkins JB, Walker WA, editors. Nutrition in pediatrics. 4th ed. Hamilton: BC Decker Inc; 2008. p. 777–93.

    Google Scholar 

  18. Goulet O, Antébi H, Wolf C, et al. A new intravenous fat emulsion containing soybean oil, medium-chain triglycerides, olive oil, and fish oil: a single-center, double-blind randomized study on efficacy and safety in pediatric patients receiving home parenteral nutrition. J Parenter Enteral Nutr. 2010;34:485–95.

    Article  CAS  Google Scholar 

  19. Lyszkowska M, Moreno Villares J, Colomb V. Home parenteral nutrition in children. In: Bozzetti F, Staun M, van Gossum A, editors. Home parenteral nutrition. Oxon, United Kingdom: Cabi; 2006. p. 325–41.

    Chapter  Google Scholar 

  20. Chawls WJ. Vascular access for home intravenous therapy in children. J Parenter Enteral Nutr. 2006;30:S57–64.

    Article  Google Scholar 

  21. Martínez Costa C, Sierra C, Pedrón Giner C, et al. Nutrición enteral y parenteral en pediatría. An Esp Pediatr. 2000;52 suppl 3:1–33.

    Google Scholar 

  22. Krishnamurthy G, Keller MS. Vascular access in children. Cardiovasc Intervent Radiol. 2011;34:12–24.

    Article  Google Scholar 

  23. Gifford H, DeLegge M, Epperson LA. Education methods and techniques for training home parenteral nutrition patients. Nutr Clin Pract. 2010;25:443–50.

    Article  PubMed  Google Scholar 

  24. Gómez López L, Gutiérrez Suárez M. Programa de nutrición parenteral domiciliaria pediátrica. Cuaderno de información para las familias. Valencia: Gráficas Diamante; 2008. ISBN 84-691-5079-5. http://www.nadya-senpe.com/public/elementos.htlm

  25. Stout SM, Cober MP. Metabolic effects of cyclic parenteral nutrition infusion in adults and children. Nutr Clin Pract. 2010;25:277–81.

    Article  PubMed  Google Scholar 

  26. Calman KC. Quality of life of cancer patients—an hypothesis. J Med Ethics. 1984;10:124–7.

    Article  PubMed  CAS  Google Scholar 

  27. Winkler MF. Quality of life in adult home parenteral nutrition patients. J Parenter Enteral Nutr. 2005;29:162–70.

    Article  Google Scholar 

  28. Baxter JP, Fayers PM, McKinlay AW. The development and translation of a treatment-specific quality of life questionnaire for adult patients on home parenteral nutrition. e-SPEN. 2008;3:e22–8.

    Article  Google Scholar 

  29. Pane S, Solans M, Gaite L, Serra-Sutton V, Estrada MD, Rajmil L. Instrumentos de calidad de vida relacionada con la salud en la edad pediátrica. Revisión sistemática de la literatura: actualización. Agència d’Avaluació de Tecnología i Recerca Mèdiques. Barcelona; 2006.

    Google Scholar 

  30. Gottrand F, Staszewski P, Colomb V, et al. Satisfaction in different life domains in children receiving home parenteral nutrition and their families. J Pediatr. 2005;146:793–7.

    Article  PubMed  Google Scholar 

  31. Emedo MJ, Godfrey EI, Hill SM. A qualitative study of the quality of life of children receiving intravenous nutrition at home. J Pediatr Gastroenterol Nutr. 2010;50:431–40.

    PubMed  Google Scholar 

  32. Moreno Villares JM, Leon SM. Legislation on home parenteral nutrition. In: Bozzetti F, Staun M, van Gossum A, editors. Home parenteral nutrition. Oxon, United Kingdom: Cabi; 2006. p. 364–71.

    Chapter  Google Scholar 

  33. Gandullia P, Lugani F, Costabello L, et al. Long-term home parenteral nutrition in children with chronic intestinal failure: a 15-year experience at a single Italian center. Dig Liver Dis. 2011;43:28–33.

    Article  PubMed  Google Scholar 

  34. Beath S, Pironi L, Gabe S, et al. Collaborative strategies to reduce mortality and morbidity in patients with chronic intestinal failure including those who are referred for small bowel transplantation. Transplantation. 2008;85:1378–84.

    Article  PubMed  Google Scholar 

  35. Sauvat F, Fusaro F, Lacaille F, et al. Is intestinal transplantation the future of children with definition intestinal insufficiency? Eur J Pediatr Surg. 2008;18:368–71.

    Article  PubMed  CAS  Google Scholar 

  36. Protheroe S. Symposium 6: young people, artificial nutrition and transitional care. Transition in young people on home parenteral nutrition. Proc Nutr Soc. 2009;68:441–5.

    Article  PubMed  Google Scholar 

  37. Fecteau A, Atkinson P, Grant D. Early referral is essential for successful pediatric small bowel transplantation: the Canadian experience. J Pediatr Surg. 2001;36:681–4.

    Article  PubMed  CAS  Google Scholar 

  38. Kaufman SS, Atkinson JB, Bianchi A, et al. Indications for pediatric intestinal transplantation: a position paper of the American Society of Transplantation. Pediatr Transpl. 2001;5:80–7.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Consuelo Pedrón-Giner .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Pedrón-Giner, C., Villares, J.M.M., Martínez-Costa, C. (2013). Home Parenteral Nutrition. In: Watson, R., Grimble, G., Preedy, V., Zibadi, S. (eds) Nutrition in Infancy. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-254-4_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-62703-254-4_19

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-253-7

  • Online ISBN: 978-1-62703-254-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics