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Metabolic Complications of Home Parenteral Nutrition
Author(s) -
Davila Jamie,
Konrad Denise
Publication year - 2017
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533617735089
Subject(s) - medicine , parenteral nutrition , intensive care medicine , metabolic bone disease , complication , anemia , psychological intervention , pediatrics , surgery , osteoporosis , nursing
Home parenteral nutrition (HPN) has benefited countless patients since its initiation almost 5 decades ago. Over time, HPN has been found to be associated with various complications, including metabolic disorders. Metabolic complications can be grouped into short‐term (eg, fluid imbalance, electrolyte disturbances, glucose abnormalities) and long‐term (eg, hepatobiliary disorders, metabolic bone disease, iron deficiency anemia, manganese toxicity) categories. There are a number of treatment options for each complication. It is important to evaluate the entire clinical picture prior to initiating an intervention and use evidence‐based interventions when available. A dedicated multidisciplinary team is best suited to prevent and manage complications when they are identified.