Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 40: Home Parenteral Nutrition In Infants, Children, And Adults (continued)

David Ziring, MD; Marvin Ament, MD

For the past 30 years, the delivery of parenteral nutrition (PN) in the home has allowed patients the ability to thrive and maintain an active lifestyle without the need for hospitalization. Despite incremental changes in delivery systems, the basic formula of home PN has remained unchanged since the early 1970s. With growing confidence in its safety, practitioners have utilized home PN in an expanding population of patients. Moving home PN beyond the realm of intestinal failure, physicians have used home PN in a number of patients who would not traditionally be treated with PN. These include…