Related Experiment Videos
[Home parenteral nutrition in children. Evaluation after 8 years' activity with 88 patients]
A M Gorski1, O Goulet, M Lamor
1Centre Agréé de Nutrition Parentérale à domicile, Hôpital des Enfants-Malades, Paris.
Insights
Home parenteral nutrition (HPN) offers children with extensive small bowel loss a good quality of life. This study shows HPN is a safe and effective option for long-term nutritional support at home.
Area of Science:
- Pediatric Gastroenterology
- Clinical Nutrition
- Surgical Outcomes
Context:
- Children with significant small bowel resection require long-term nutritional support.
- Maintaining a good quality of life is crucial for these patients.
- Home-based care is a desirable component of pediatric long-term care.
Purpose:
- To evaluate the safety and efficacy of home parenteral nutrition (HPN) for children with prolonged parenteral nutrition dependency.
- To assess the quality of life and growth outcomes in pediatric patients receiving HPN.
- To identify complications associated with HPN in a pediatric population.
Summary:
- Eighty-eight children were discharged home on cyclic parenteral nutrition over an 8-year period.
- Of these, 34 were weaned off parenteral nutrition, 40 remained dependent, and 14 died.
- Growth and quality of life were generally satisfactory, with a low incidence of septicemia (1 per 692 days of HPN).
Impact:
- Home parenteral nutrition (HPN) is a viable and beneficial option for children requiring long-term nutritional support.
- Successful HPN requires dedicated multidisciplinary support centers for logistical and clinical management.
- This approach can significantly improve the quality of life for pediatric patients with severe gastrointestinal conditions.
Abstract:
In cases where an anatomic or functional amputation of the small bowel dictates that parenteral nutrition needs to be prolonged, it is essential to offer the child the best possible quality of life. In this regard, being in his home environment is an important component. Over a 8 year-period (1980-1988), 88 children went home with cyclic parenteral nutrition. In 34, parental nutrition was eventually discontinued: 40 are still parenteral nutrition-dependent and 14 died. In most cases, the growth and quality of life were satisfactory. Complications consisted essentially of infections, with 1 septicemia for 692 days of home parenteral nutrition (HPN). In the light of these results, HPN appears to be the best option for prolonged parenteral nutrition-dependent children. However, it cannot be set up without the help of a suitable center able to follow the children and to ensure the logistic support necessary for this highly technical and demanding type of care.