title: [Review of our home parenteral nutrition (HPN) and home enteral nutrition (HEN) cases].
abstract: We reviewed our cases of HPN and HEN after percutaneous gastrostomy. We had 38 patients (26 men, 12 women) on HPN. Of them, 23 (17 men, 6 women) had an implantable subcutaneous infusion port. The average age of HPN cases was 69 (range 40-92) years, and 34 patients (89%) suffered from a malignant disease. The mean duration of HPN was 104 (range 2-543) days. Home anti-cancer chemotherapy was provided for 2 patients. Percutaneous gastrostomy was performed for 7 patients (4 men, 3 women) by endoscopy (PEG, 6 cases) and 1 patient needed an open laparotomy. Their average age was 60 (range 40-83) years. 5 patients with a malignant disease who were in HPN underwent gastrostomy for decompression drainage of a digestive tract obstruction. 2 patients had a benign disease and were on HEN for a long time. We experienced 2 cases of skin complications, one under HPN and the other under HEN, but no severe complication experienced. HPN and HEN contribute to improve the patients' QOL.
authors.affiliation: Dept. of Surgery, Kureha General Hospital.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Midorikawa
authors.forename: Kumiko
authors.initials: K
authors.lastname: Suzuki
authors.forename: Gyou
authors.initials: G
authors.lastname: Motohashi
authors.forename: Jirou
authors.initials: J
authors.lastname: Shimazaki
mesh_terms: D000328:Adult; D000368:Aged; D004750:Enteral Nutrition; D005774:Gastrostomy; D018575:Home Care Services, Hospital-Based; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D016331:Parenteral Nutrition, Home; D011788:Quality of Life