Clinical profile of home parenteral nutrition patients.
Home Parenteral Nutrition (HPN) has revolutionised the treatment of intestinal failure. In Europe, incidences and prevalences are approximately 2-3 patients/year/10(6) inhabitants. As in USA, cancer has become the main indication for HPN in Europe, while Crohn's disease represents 15% of the cases. The major cause of HPN-related morbidity remains catheter infection. Metabolic complications can occur in patients with longterm HPN. In patients with non-malignant diseases, probability of survival at 5 years is about 65%. Quality of life is considered very good in about 60% of these cases. Prognosis of cancer patients is very limited.
Van Gossum
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Department of Gastroenterology, Hôpital Erasme, Brussels.
D000328:Adult; D000368:Aged; D005767:Gastrointestinal Diseases / Q000628:therapy*; D005770:Gastrointestinal Neoplasms / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D016331:Parenteral Nutrition, Home / Q000009:adverse effects; D010689:Phlebitis / Q000209:etiology; D011788:Quality of Life