Metabolic Complications of Home Parenteral Nutrition. (10th October 2017)

• Record Type: Journal Article
• Authors: Davila, Jamie; Konrad, Denise
• Is Part Of: Nutrition in clinical practice. Volume 32:Number 6(2017:Dec.)
• Page Start: 753
• Page End: 768
• Publication Date: 2017-10-10
• Subjects: home nutrition support -- parenteral nutrition -- nutritional and metabolic diseases -- water‐electrolyte imbalance -- glucose intolerance -- metabolic bone diseases; Nutrition -- Periodicals; Diet therapy -- Periodicals; Artificial feeding -- Periodicals; 615.854
• DOI: 10.1177/0884533617735089
• Languages: English
• ISSNs: 0884-5336

Abstract

Abstract : Home parenteral nutrition (HPN) has benefited countless patients since its initiation almost 5 decades ago. Over time, HPN has been found to be associated with various complications, including metabolic disorders. Metabolic complications can be grouped into short‐term (eg, fluid imbalance, electrolyte disturbances, glucose abnormalities) and long‐term (eg, hepatobiliary disorders, metabolic bone disease, iron deficiency anemia, manganese toxicity) categories. There are a number of treatment options for each complication. It is important to evaluate the entire clinical picture prior to initiating an intervention and use evidence‐based interventions when available. A dedicated multidisciplinary team is best suited to prevent and manage complications when they are identified.