title: Home parenteral nutrition therapy in seven patients with anorexia nervosa: the role and indications.
abstract: Home parenteral nutrition (HPN) is a well-established intervention to sustain life in malnourished patients at home. Because it is difficult for patients with anorexia nervosa (AN) to gain weight or stop purging, such patients require repeated hospitalizations. Although HPN has not been commonly used for AN patients in Japan, we utilized this approach to treat seven AN patients. We herein present the clinical course and outcome of these seven patients, the application criteria for HPN in our institution, and the potential problems associated with HPN. Despite its complications, HPN may be a useful measure to help patients with persistent AN avoid multiple hospitalizations.
authors.affiliation: Health Services Center, National Graduate Institute for Policy Studies, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Hotta
authors.forename: Mariko
authors.initials: M
authors.lastname: Araki
authors.forename: Ayako
authors.initials: A
authors.lastname: Urano
authors.forename: Rina
authors.initials: R
authors.lastname: Ohwada
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D001835:Body Weight; D015897:Comorbidity; D005260:Female; D005440:Fluid Therapy / Q000379:methods* / Q000523:psychology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan / Q000453:epidemiology; D001523:Mental Disorders / Q000453:epidemiology; D008991:Monitoring, Physiologic; D016331:Parenteral Nutrition, Home / Q000379:methods / Q000523:psychology; D016896:Treatment Outcome; D014839:Vomiting / Q000453:epidemiology / Q000517:prevention & control*; D014882:Water-Electrolyte Balance; D015430:Weight Gain