Complications of long-term home total parenteral nutrition - Their identification, prevention and treatment

被引:73
作者
Buchman, AL [1 ]
机构
[1] Northwestern Univ, Sch Med, Div Gastroenterol & Hepatol, Chicago, IL 60611 USA
关键词
parenteral nutrition; catheter infection; catheter occlusion; catheter care; intestine; intestinal permeability; nonalcoholic steatohepatitis; metabolic bone disease;
D O I
10.1023/A:1005628121546
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The purpose of this review is to describe the most common complications of home total parenteral nutrition, their identification, treatment and prevention. Data sources were manuscripts and abstracts published in the English literature since 1968. Studies were selected for summarization in this review on the basis of clinical relevance to the practicing clinician. Home total parenteral nutrition is a relatively safe, life-saving method for nutrient delivery in patients with compromised gastrointestinal function. However, numerous complications, with associated morbidity and mortality, involving the delivery system and the gastrointestinal, renal, and skeletal systems may develop. Catheter-related complications are often preventable and treatable when they occur, although renal and bone abnormalities have elusive etiologies.
引用
收藏
页码:1 / 18
页数:18
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共 222 条
[1]  
ADERKA D, 1986, CANCER, V57, P1846, DOI 10.1002/1097-0142(19860501)57:9<1846::AID-CNCR2820570925>3.0.CO
[2]  
2-3
[3]  
ADIBI SA, 1970, GASTROENTEROLOGY, V59, P404
[4]   SLUDGE IS CALCIUM BILIRUBINATE ASSOCIATED WITH BILE STASIS [J].
ALLEN, B ;
BERNHOFT, R ;
BLANCKAERT, N ;
SVANVIK, J ;
FILLY, R ;
GOODING, G ;
WAY, L .
AMERICAN JOURNAL OF SURGERY, 1981, 141 (01) :51-56
[5]   A COMPARATIVE-STUDY OF OP-SITE AND NOBECUTAN GAUZE DRESSINGS FOR CENTRAL VENOUS LINE CARE [J].
ANDERSEN, PT ;
HERLEVSEN, P ;
SCHAUMBURG, H .
JOURNAL OF HOSPITAL INFECTION, 1986, 7 (02) :161-168
[6]  
APELGREN KN, 1988, J PARENTERAL ENTERAL, V12, pS11
[7]   PRIMARY, SECONDARY AND OTHER VARIANTS OF THE ANTIPHOSPHOLIPID SYNDROME [J].
ASHERSON, RA ;
CERVERA, R .
LUPUS, 1994, 3 (04) :293-298
[8]   INVESTIGATIONAL USE OF TISSUE PLASMINOGEN-ACTIVATOR (T-PA) FOR OCCLUDED CENTRAL VENOUS CATHETERS [J].
ATKINSON, JB ;
BAGNALL, HA ;
GOMPERTS, E .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1990, 14 (03) :310-311
[9]  
Baker A L, 1987, Am J Med, V82, P489, DOI 10.1016/0002-9343(87)90449-9
[10]   Manganese toxicity and parenteral nutrition [J].
Beath, SV ;
Gopalan, S ;
Booth, IW .
LANCET, 1996, 347 (9017) :1773-1774