Management of complications in patients receiving home parenteral nutrition.
Patients receiving long-term home parenteral nutrition tend to fall under the care of adult and pediatric gastroenterologists. This article reviews the management of potential infectious, mechanical and metabolic complications and describes common psychosocial issues related to the therapy. The point at which to refer the patient to an intestinal failure program offering autologous bowel reconstruction and small bowel transplantation is discussed.
Howard
Lyn
L
Division of Gastroenterology and Clinical Nutrition, Albany Medical College, New York 12208, USA. howardl@mail.amc.edu
Ashley
Christopher
C
D002404:Catheterization / Q000009:adverse effects*; D006801:Humans; D007239:Infections / Q000209:etiology* / Q000628:therapy*; D008659:Metabolic Diseases / Q000209:etiology* / Q000628:therapy*; D016331:Parenteral Nutrition, Home / Q000009:adverse effects*; D011584:Psychology; D012017:Referral and Consultation; D012778:Short Bowel Syndrome / Q000628:therapy