家庭肠外与肠内营养

Home parenteral and enteral nutrition.

作者信息

DiBaise John K, Scolapio James S

机构信息

Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Pablo Road, Scottsdale, AZ 85259, USA.

出版信息

Gastroenterol Clin North Am. 2007 Mar;36(1):123-44, vii. doi: 10.1016/j.gtc.2007.01.008.

DOI:10.1016/j.gtc.2007.01.008

PMID:17472879

Abstract

Home parenteral and enteral nutrition (HPEN) has evolved to become a very successful, lifesaving treatment in the management of patients with intestinal and oral failure, respectively. Nevertheless, the provision of HPEN remains intrusive, expensive, and continues to be associated with significant morbidity. The management of HPEN by a nutrition support team that optimally includes an experienced clinician, nurse specialist, dietitian, and pharmacist reduces HPEN-related morbidity and may reduce costs associated with its use. Because clinical expertise in the management of patients receiving HPEN is not widely available, the referral of these patients to experienced centers for periodic assessment should be encouraged.

摘要

家庭肠外和肠内营养（HPEN）已分别发展成为治疗肠功能衰竭和口腔功能衰竭患者非常成功的救命疗法。然而，提供HPEN仍然具有侵入性、成本高昂，且仍与显著的发病率相关。由营养支持团队管理HPEN，该团队最好包括经验丰富的临床医生、专科护士、营养师和药剂师，可降低与HPEN相关的发病率，并可能降低其使用相关的成本。由于管理接受HPEN患者的临床专业知识并不广泛可得，应鼓励将这些患者转诊至有经验的中心进行定期评估。