Gastroenterology
Volume 124, Issue 6 , Pages 1651-1661, June 2003

Management of complications in patients receiving home parenteral nutrition

  • Lyn Howard

      Affiliations

    • Corresponding Author InformationAddress requests for reprints to: Lyn Howard, M.B., F.R.C.P., Division of Clinical Nutrition, Albany Medical College, 47 New Scotland Avenue, Albany, New York 12208, USA
    • Division of Gastroenterology and Clinical Nutrition, Albany Medical College, Albany, New York, USA
    • ,
  • Christopher Ashley

      Affiliations

    • Division of Gastroenterology and Clinical Nutrition, Albany Medical College, Albany, New York, USA

Received 31 December 2002; accepted 22 January 2003.

Abstract 

Patients receiving long-term home parenteral nutrition tend to fall under the care of adult and pediatric gastroenterologists. This article reviews the management of potential infectious, mechanical and metabolic complications and describes common psychosocial issues related to the therapy. The point at which to refer the patient to an intestinal failure program offering autologous bowel reconstruction and small bowel transplantation is discussed.

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PII: S0016-5085(03)00326-3

doi:10.1016/S0016-5085(03)00326-3

Gastroenterology
Volume 124, Issue 6 , Pages 1651-1661, June 2003

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