Home total parenteral nutrition: An alternative to early surgery for complicated inflammatory bowel disease

  title={Home total parenteral nutrition: An alternative to early surgery for complicated inflammatory bowel disease},
  author={Justin Evans and A. Hillary Steinhart and Zane Cohen and Robin S. McLeod},
  journal={Journal of Gastrointestinal Surgery},
The role of total parenteral nutrition in inflammatory bowel disease: current aspects
The utility of TPN is restricted to certain cases involving efforts to close enterocutaneous or other complicated fistulas in patients with fistulizing CD, the treatment of short bowel syndrome following extensive resections for CD, or when EN is impractical for other reasons.
Gastroenterology – Guidelines on Parenteral Nutrition, Chapter 15
In patients with Crohn's disease and ulcerative colitis parenteral nutrition (PN) is indicated when enteral nutrition is not possible or should be avoided for medical reasons, and enteral nutrition is clearly superior to PN in severe, acute pancreatitis.
Diet Recommendations for Hospitalized Patients With Inflammatory Bowel Disease: Better Options Than Nil Per Os.
The literature is reviewed for dietary considerations during hospitalizations and acute settings, as well as upon discharge, to define how the use of different diets can influence the outcomes of patients hospitalized for IBD.
Use of parenteral nutrition in patients with advanced cancer.
  • I. Soo, L. Gramlich
  • Medicine
    Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme
  • 2008
Patient-related variables in a cohort of advanced cancer patients enrolled in a home parenteral nutrition (HPN) program are described and initiation of HPN at a higher KPS was associated with a longer duration of life.
use of preoperative exclusive total parental nutrition is associated with clinical and laboratory remission in severe active crohns disease
Exclusive preoperative TPN was associated with weight gain, decreased inflammatory biomarkers, and improved clinical disease activity and nutrition, and further studies are needed before a recommendation can be made to use exclusivePreoperative Exclusive Total Parental Nutrition for at least 1 month for severe, refractory Crohn’s Disease to decrease Disease activity and improve nutritional status before elective surgery.
Preoperative Exclusive Total Parental Nutrition is Associated with Clinical and Laboratory Remission in Severe Active Crohn’s Disease—A Pilot Study
Exclusive preoperative TPN was found to provide significant improvement in nutritional status, and clinical and laboratory remission in severe active Crohn’s patients.
Nutrition in inflammatory bowel disease.
The diet of industrialized nations may contribute to the pathogenesis of both ulcerative colitis (UC) and Crohn disease (CD). Malnutrition is relatively unusual in UC, but in CD, which often affects
Postoperative enterocutaneous fistula: when to reoperate and how to succeed.
This plan gives a framework for the difficult task of successfully treating the postoperative ECF with a multidisciplinary approach and special mention is given in this article to exceptionally refractory fistulas such as those arising in the presence of inflammatory bowel disease and irradiated bowel.
Preoperative optimization of Crohn's disease.
Medical management of intraabdominal sepsis with percutaneous drainage of abdominal or pelvic abscesses may decrease postoperative septic complications, and may even avert the need for surgical intervention altogether.
Clinical guidelines for the management of gastrointestinal fistula - developed by experts of the Polish Surgical Society.
Nine recommendations for the treatment of gastrointestinal fistulas are developed, based on evidence-based medicine and best clinical practice to reduce treatment-related mortality and morbidity.


The cost of hospitalization in Crohn's disease
Therapy that decreases the number of surgical hospitalizations should substantially reduce inpatient Crohn's disease costs, as well as overall costs.
Home parenteral nutrition in adults: a european multicentre survey in 1997. ESPEN-Home Artificial Nutrition Working Group.
Incidences and prevalences modestly increased in these seven European countries in 1997 in comparison to 1993 and the percentages of underlying diseases in these countries remained similar except for AIDS that significantly decreased (from 7% to 2%).
Direct hospital costs for patients with inflammatory bowel disease in a Canadian Tertiary Care University Hospital
Using a patient-specific case costing system, the direct costs of hospitalizations of patients with Crohn's disease and ulcerative colitis admitted to a university-affiliated tertiary care hospital were determined and the factors that determined increased costs were determined.
Peripherally inserted central catheters and their use in i.v. therapy.
  • J. Todd
  • Medicine
    British journal of nursing
  • 1999
There is evidence available which indicates that a PICC can minimize the trauma to patients who undergo multiple, repeated cannulations, and can also reduce catheter-related risks such as thrombophlebitis, infection and insertion-related complications.