NUTRIZIONE PARENTERALE DOMICILIARE IN ETA PEDIATRICA: ESPERIENZA DI 41 ANNI PAZIENTE

Translated title of the contribution: Home parenteral nutrition in children: Experience on 41 patients years

L. Giglio, R. Perini, G. Torre, M. Candusso, A. M. Gazzola, D. Faraguna

Research output: Contribution to journalArticlepeer-review

Abstract

Home Parenteral Nutrition (HPN) in pediatric age, started in case of long-term bowel pathology at a stage of stabilization, means long-term hospitalization is avoided and that children can be reintegrated into their social and family environment. In the present work the authors describe their experience with reference to 15,153 total days of parenteral nutrition via a central vein, of which 9,613 were performed at home. Fourteen patients have been followed at the 'Istituto per l'Infanzia Burlo Garofolo' in Trieste since April 1982. The following pathologies were found in these patients: short bowel syndrome (5 patients), chronic diarrhea (3 patients), necrotizing enterocolitis (2 patients), chronic intestinal pseudo-obstruction syndrome (1 patient), ulcerative rectocolitis (1 patient) and severe malnutrition in cystic fibrosis (1 patient). All patients underwent HPN from a minimum of 1 month to a maximum of almost 5 years (range 29-1,799 days). HPN is still under way in 7 patients. On average three and a half catheters were used per child with a mean residence time of 310 days (range 2-1,513 days). The total number of mechanical and septic complications occurring at home was lower than during hospitalization (1.02 complications/year at home vs 1.45 complications/year in hospital). The difference, however, is not statistically significant. Rare metabolic complications were identified on the whole. In 4 patients the weight and height growth was inadequate: 2 children with prevalent stature deficit underwent long-term treatment with steroids in connection with their basic pathology; 1 patient was born before term with a low weight, while the fourth child suffered from cystic fibrosis. The results of the present study confirm the validity of HPN in terms of both nutrition and safety.

Translated title of the contributionHome parenteral nutrition in children: Experience on 41 patients years
Original languageItalian
Pages (from-to)103-110
Number of pages8
JournalRivista Italiana di Nutrizione Parenterale ed Enterale
Volume9
Issue number2
Publication statusPublished - 1991

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anatomy
  • Nutrition and Dietetics
  • Food Science

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