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Nutritional support in patients with systemic scleroderma.

G Grabowski1, J P Grant

  • 1Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.

JPEN. Journal of Parenteral and Enteral Nutrition
|March 1, 1989
PubMed
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Home nutritional support can improve nutrition and quality of life for systemic scleroderma patients with gastrointestinal issues. This approach is recommended for stable patients without major organ failure.

Area of Science:

  • Gastroenterology
  • Nutrition Science
  • Rheumatology

Background:

  • Systemic scleroderma frequently impacts the gastrointestinal tract, leading to malnutrition.
  • Effective management strategies for nutritional deficits in scleroderma are crucial.

Observation:

  • Five patients with systemic scleroderma received specialized home nutritional support (enteral or parenteral).
  • Support was provided over 12 to 86 months, monitoring nutritional status and complications.

Findings:

  • Adequate nutritional status and improved quality of life were achieved in patients receiving home nutritional support.
  • Few metabolic or technical complications were observed during the support period.
  • Outcomes varied, with three deaths, one transition to an oral diet, and one patient remaining on total parenteral nutrition.

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Implications:

  • Home nutritional support should be considered for systemic scleroderma patients with gastrointestinal involvement.
  • This intervention is most suitable for patients with stable disease and no critical organ failure.
  • Further research into optimizing nutritional support for systemic scleroderma is warranted.