Benefits of home parenteral nutrition before lung transplantation: report of a case.
A 54-year-old woman, who was severely malnourished and awaiting lung transplantation for chronic respiratory failure, was given nutritional support by home parenteral nutrition (HPN). The patient's emaciated state was further compromised by the fact that she had undergone a distal gastrectomy 4 years earlier. We decided that HPN was indicated because her oral intake was so poor and drinking enteral formula reduced her appetite. After 1 year of HPN, her body weight increased and her nutritional, anthropometric, and biochemical values were well maintained by the time of transplantation. Moreover, her progress after lung transplantation was remarkably good, indicating the effectiveness of nutritional support by HPN during the protracted waiting period.
Inoue
Yoshifumi
Y
Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Minami
Masato
M
Mizuta
Takatoshi
T
Kimura
Toshihiro
T
Hirabayashi
Hirohisa
H
Okumura
Meinoshin
M
Ohta
Mitsunori
M
Miyoshi
Shinichiro
S
Katoh
Ken
K
Hayashi
Yoshimitsu
Y
Matsuda
Hikaru
H
D002908:Chronic Disease; D005260:Female; D005743:Gastrectomy; D006801:Humans; D016040:Lung Transplantation; D044342:Malnutrition / Q000628:therapy*; D008875:Middle Aged; D016331:Parenteral Nutrition, Home; D011300:Preoperative Care; D012131:Respiratory Insufficiency / Q000628:therapy*; D016896:Treatment Outcome; D015430:Weight Gain