Technical developments in feeding, together with the growth of support structures in the community has lead to a steady increase in the number of children receiving home enteral tube feeding and home parenteral nutrition. In many cases the adverse nutritional consequences of disease can be ameliorated or prevented, and long term parenteral nutrition represents a life saving intervention. Carefu...

Two adult patients receiving total parenteral nutrition on a long-term home basis presented with severe loss of hair. Both patients had extensive gut resection, consumed no biotin orally and received no biotin parenterally. Supplementation with Berroca-C, one ampule containing 200 micrograms biotin per day resulted in gradual regrowth of healthy hair. The patients now receive a parenteral solut...

BACKGROUND Intestinal failure (IF) is the reduction in functioning gut mass below the minimal level necessary for adequate digestion and absorption of nutrients and fluids for weight maintenance in adults or for growth in children. There is a paucity of epidemiologic data on pediatric IF. The purpose of this study was to determine the prevalence, incidence, regional distribution and underlying ...

Chylous ascites is a rare disease, only two cases associated with gastroschisis have been published. We report a case treated conservatively with total parenteral nutrition (TPN) and octreotide. We reviewed the literature about management options for the chylous ascites.

Congenital chylous ascites is a rare condition. It is predominantly idiopathic in etiology and presents a therapeutic challenge. A case of idiopathic congenital chylous ascites successfully treated with six weeks of total parenteral nutrition is described.

The aim of this study was to investigate the effects of early enteral nutrition (EEN) on T helper lymphocytes and the subpopulations ratios of surgical septic patients.We performed a retrospective study including 107 eligible patients from February 2014 to December 2015. Patients were divided into EEN, delayed enteral nutrition (DEN), or total parenteral nutrition (TPN) group according to the d...

PARENTERAL NUTRITION HAS BEEN in common use since the 1960s and is accepted as the standard of care for patients with chronic nonfunctioning gastrointestinal tracts. In critical illness, controversy surrounds the appropriate use of parenteral nutrition, but largescale trials have begun to answer important questions. Published in2011,EPaNIC(EarlyParenteral Nutrition Completing Enteral Nutrition ...

Short answer questions 1. Why is it difficult to have an evidence‐based demonstration that artificial nutrition is useful in weight‐losing hypophagic patients undergoing chemotherapy? 2. Why does oral supplementation in weight‐losing cancer patients have a limited efficacy? 3. In patients receiving a full regimen of total parenteral nutrition or enteral nutrition, this nutritional support is un...

Home parenteral nutrition is an established method of supporting patients with intestinal failure, but this treatment may be life long and imposes severe restrictions on daily life. Impact on quality of life is an important outcome when considering the management of home parenteral nutrition patients. This paper reviews studies in which the quality of life of patients receiving home parenteral ...

The need for long term parenteral nutrition is no longer in itself adequate justification for keeping a child in hospital. With the development of both the nutritional support industry and hospital outreach services, parenteral nutrition at home has become a practical option. The necessary organisation and supervision remain complex, however, so that home parenteral nutrition (HPN) is best coor...