Home Parenteral and Enteral Nutrition

Bering, Jamie; DiBaise, John K.

doi:10.3390/nu14132558

Cited by 19 publications

(15 citation statements)

References 100 publications

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Section: Cost‐effectiveness and Healthcare Utilizationmentioning

confidence: 99%

“…Providing adequate and timely nutrition therapy is critical in different clinical settings and can affect overall outcome in many ways including but not limited to morbidity and mortality benefits. 16 As discussed, EN therapy is widely used in both in-and out-patient settings and often for prolonged duration. The question about the cost of specialized nutrition care including enteral formula has always been a valid concern that should be discussed with patients.…”

Section: Cost-effectiveness and Healthcare Utilizationmentioning

confidence: 99%

“…13,14 Nevertheless, there is an overwhelming evidence supporting the safety and effectiveness of PN in providing nutrition therapy for a range of indications in distinct groups including patients who are critically ill, patients who were not critically ill but hospitalized, and home PN recipients. 4,[15][16][17] It is also important to recognize that EN may improve quality of recipients' lives. 18 In a systematic review, Ojo et al noted improvement in quality of life reported by EN recipients in 9 out of 14 studies included in the review.…”

Section: Introduction Use Of Enteral Nutrition Therapymentioning

confidence: 99%

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Peptide‐based formula: Clinical applications and benefits

et al. 2023

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The use of enteral nutrition (EN) continues to increase given benefits. However, with this increase in use, it is also becoming evident that enteral feeding intolerance (EFI) is also quite prevalent, leading to the inability to meet nutrition needs in many patients. Given the wide variability in the EN population as well as the number of formulas available, there is not a clear consensus regarding the best approach to EFI management. One approach that is emerging to improve EN tolerance is the use of peptide-based formulas (PBFs). PBFs refer to enteral formulas containing proteins that have been enzymatically hydrolyzed to dipeptides and tripeptides. These hydrolyzed proteins are often combined with higher medium-chain triglyceride content to generate an enteral formula that is essentially easier to absorb and utilize. Emerging data demonstrate that the use of PBF in patients with EFI may improve clinical outcomes along with a corresponding reduction in healthcare utilization and potentially the cost of care. This review aims to navigate through key clinical applications and benefits of PBF and to discuss relevant data shared in the literature.

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Section: Cost‐effectiveness and Healthcare Utilizationmentioning

confidence: 99%

Section: Cost-effectiveness and Healthcare Utilizationmentioning

confidence: 99%

Section: Introduction Use Of Enteral Nutrition Therapymentioning

confidence: 99%

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Peptide‐based formula: Clinical applications and benefits

et al. 2023

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“…Home PN necessitates long‐term central venous access for administration. Central venous access devices carry their own risk of complications, including infection, thrombosis, malfunction, breakage, and dislodgement 66 (Table 5).…”

Section: Cvc‐related Complicationsmentioning

confidence: 99%

Short bowel syndrome: Complications and management

Bering

DiBaise

2023

Nut in Clin Prac

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Short bowel syndrome (SBS) occurs when a patient loses bowel length or function significantly enough to cause malabsorption, oftentimes requiring lifelong parenteral support. In adults, this occurs most commonly in the setting of massive intestinal resection, whereas congenital anomalies and necrotizing enterocolitis predominate in children. Many patients with SBS develop long-term clinical complications over time related to their altered intestinal anatomy and physiology or to various treatment interventions such as parenteral nutrition and the central venous catheter through which it is administered. Identifying, preventing, and treating these complications can be challenging. This review will focus on the diagnosis, treatment, and prevention of several complications that can occur in this patient population, including diarrhea, fluid and electrolyte imbalance, vitamin and trace element derangements, metabolic bone disease, biliary disorders, small intestinal bacterial overgrowth, D-lactic acidosis, and complications of central venous catheters.

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“…The ESPEN, the Australian Society of Parenteral and Enteral Nutrition (AuSPEN) and the British Association of Parenteral and Enteral Nutrition (BAPEN) all recommend an intake of 20–35 kcal/kg/day in patients with IF. The American Society for Parenteral and Enteral Nutrition (ASPEN) recommendations, on the other hand, recommend 25 kcal/kg/day or 2000 kcal daily [ 8 , 63 , 64 ].…”

Section: Dietary Recommendationsmentioning

confidence: 99%

Energy Guidance Using Indirect Calorimetry for Intestinal Failure Patients with Home Parenteral Nutrition: The Right Bag Right at the Start

2023

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Intestinal failure is defined as the inability to absorb the minimum of macro and micronutrients, minerals and vitamins due to a reduction in gut function. In a subpopulation of patients with a dysfunctional gastrointestinal system, treatment with total or supplemental parenteral nutrition is required. The golden standard for the determination of energy expenditure is indirect calorimetry. This method enables an individualized nutritional treatment based on measurements instead of equations or body weight calculations. The possible use and advantages of this technology in a home PN setting need critical evaluation. For this narrative review, a bibliographic search is performed in PubMed and Web of Science using the following terms: ‘indirect calorimetry’, ‘home parenteral nutrition’, ‘intestinal failure’, ‘parenteral nutrition’, ‘resting energy expenditure’, ‘energy expenditure’ and ‘science implementation’. The use of IC is widely embedded in the hospital setting but more research is necessary to investigate the role of IC in a home setting and especially in IF patients. It is important that scientific output is generated in order to improve patients’ outcome and develop nutritional care paths.

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Home Parenteral and Enteral Nutrition

Cited by 19 publications

References 100 publications

Peptide‐based formula: Clinical applications and benefits

Peptide‐based formula: Clinical applications and benefits

Short bowel syndrome: Complications and management

Energy Guidance Using Indirect Calorimetry for Intestinal Failure Patients with Home Parenteral Nutrition: The Right Bag Right at the Start

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