Containing contributions for leading international experts this book explores the life-saving treatment of home parenteral nutrition. It covers the complete scenario of home parenteral nutrition (HPN), from its prevalence in different continents to clinical indications and the practical aspects of its management. Topics covered inlcude the growing use of HPN, scientific and practical issues associated with HPN in adults and the pediatric population, indications and outcomes in various diseases, complications, nutrient requirements, preparation and administration of the admixtures, monitoring of patients, medical and surgical alternatives, ethics and legislation, and quality of life.

Readership

Researchers and practitioners in nutrition, oncology, gastroenterology, and anaesthesiology.

Main Contents

PART I

History of parenteral nutrition, M Elia, University of Southampton, UK

Home artificial nutrition in Europe, A Van Gossum

Use of home parenteral nutrition in the United States, L Howard, Albany Medical Center, USA

Home parenteral nutrition: adults Canadian program, KN Jeejeebhoy, St. Michael's Hospital, Toronto, Canada, J Allard, Toronto General Hospital, Canada, and L Gramlich, University of Alberta and Royal Hospital, Canada

Home parenteral nutrition in Australia and New Zealand, PA Ball, Charles Sturt University, Australia

PART II: Clinical conditions

Short bowel syndrome, B Messing and F Joly, Beaujon Hospital, France, P B Jeppesen, University of Copenhagen, Denmark

Gastrointestinal fistulae, J Shaffer, Hope Hospital, Salford, UK

HPN in chronic intestinal pseudo-obstruction, F Joly, A Amiot, B Messing,

Radiation enteropathy, F Bozzetti

HPN in cancer patients, F Bozzetti

HPN in mucosal damage and immune-deficiency, F Joly and B Messing

Home parenteral nutrition in the elderly, X Hébuterne, Hope Hospital, Nice, France

PART III: Complications

HPN-associated liver disease, B Messing and F Joly

Metabolic bone disease in long-term HPN in adults, L Pironi, University of Bologna, Italy

Metabolic and other rare complications of HPN, S Y Chang, A L Buchman, Feinberg School of Medicine, Chicago, USA

Catheter related complications, M Staun, and L Tjellesen, Rigshospitalet, Denmark

Disease related complications, P B Jeppesen

PART IV: Practical issues

Adult nutritional requirements, J P Baxter, Ninwells Hospital and Medical School, Dundee, UK

Home parenteral nutrition: carbohydrates, L Tappy, Lausanne University Hospital, Switzerland

Lipid, J-M Reimund, Universitaire de Caen, France

Aminoacid, protein and the gut, P B Soeters and M C G van de Poll, Maastricht University, Netherlands

Micronutrients in home parenteral nutrition, A Shenkin, University of Liverpool, UK

Venous access care, S Wood, Royal London Hospital, UK

Teaching patients home parenteral nutrition, K Judson and J Field, Queen's Medical Centre, Nottingham, UK, and A Wengler, Rigshospitalet, Denmark

Provision-preparation, P Gomis, Hospital 12 Octubre, Madrid, Spain

Administration of home parenteral nutrition, A Ballarin, Hôpital Erasme, Belgium, P Thul, Charité University Hospital, Germany, A van Gossum

Monitoring patients on home parenteral nutrition, A Wengler, P Thul, M Staun

Home parenteral nutrition practical issues: dietetics, M Baker University Hospitals of Leicester NHS Trust, UK and K Farrer, Salford Primary Care Trust and Salford Royal Hospitals Trust, UK

PART V: Pediatrics

Home parenteral nutrition in children, V Colomb, Hôpital Necker-Enfants Malades, Paris, France, M Lyszkowska, Children's Memorial Health Institute, Warsaw, Poland, and J M Moreno Villares, Hospital Universitario 12 de Octubre, Madrid, Spain

PART VI

Quality of life of patients on home parenteral nutrition, A Micklewright, University Hospital NHS Trust , Nottingham, UK, J Baxter, and C Wheatley, PINNT, UK

Ethical and legal aspects of HPN, F Bozzetti, and S Allison, Nottingham, UK

Legislation on home parenteral nutrition, J M Moreno Villares, M Leon-Sanz, Hospital Universitario 12 de Octubre, Madrid, Spain

Surgical alternatives to intestinal transplantation in patients with short bowel syndrome, Y Panis, Beaujon Hospital, France, A Alves, Lariboisière Hospital, Paris, France, F Joly, B Messing

The use of growth factors in short bowel syndrome, P B Jeppesen

Intestinal transplantation, A Pinna, University of Bologna, Italy, L Pironi, A G Tsakis, University of Miami,USA
Home parenteral nutrition- perspectives, A Van Gossum

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