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Home hyperalimentation for inflammatory bowel disease.

J H Bodzin

    Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
    |April 1, 1992
    PubMed
    Summary
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    Total parenteral nutrition (TPN) supports inflammatory bowel disease (IBD) management, primarily as an adjunct therapy. Home TPN (HTPN) offers improved quality of life for IBD patients when managed appropriately.

    Area of Science:

    • Gastroenterology
    • Clinical Nutrition

    Background:

    • Inflammatory Bowel Disease (IBD) management has evolved.
    • Total Parenteral Nutrition (TPN) was initially considered a primary therapy but is now recognized as an adjunct.

    Observation:

    • TPN plays specific roles in IBD, including nutritional support for short bowel syndrome.
    • It serves as adjunctive therapy for jejunoileitis in Crohn's disease.
    • Home TPN (HTPN) is utilized for Crohn's colitis and preoperative repletion.

    Findings:

    • Hospital TPN techniques have been adapted for long-term home use (HTPN).
    • Patients on HTPN for IBD face similar mechanical and metabolic issues as other HTPN patients.
    • IBD patients on HTPN experience a higher infection rate.

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    Implications:

    • Appropriate HTPN management is crucial for IBD patients.
    • HTPN can significantly improve the quality of life for individuals with IBD.
    • TPN remains a valuable tool in the comprehensive care of IBD patients.